Facility Hire

Business Name

Contact Number

Contact Name

Contact Email

Purpose of hire

Hire date - Start

Time in

Hire date - End

Time out

Area(s) Required

Key Access Required:

Yes No Unsure

Code Access Required:

Yes No Unsure

Equipment Required:

Furniture Required:

Parking Requirements:

Gate Access Required

Yes No Unsure

Wireless Access Required

Yes No Unsure

Number of People Attending

CLEANERS REQUIRED @ $30: PER HOUR

Yes No

AFTER HOURS/LOCKUP FEE @ $45: PER HOUR

Yes No

EVENTS CO-ORDINATOR FEE @ $30: PER HOUR

Yes No

REPRESENTATIVE CONTACT DETAILS:

Name

Address

Phone

Email

I have read and agree the Terms & Conditions of Hire