Conference Room Booking Form

Organisation

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Person*

First NameLast Name

Contact Number*

E-mail*

example@example.com

DATE FROM

Date

Time of Arrival *

Hour Minutes

AM/PM Option

DATE TO

Date

Time of Departure*

Hour Minutes

AM/PM Option

Purpose of Booking*

Number of Attendees:*

Equipment required:

Catering Required (Meal request form will be sent following your Booking)*

Please note:

* Booking can only be made for Monday - Friday, during office business hours only (Not Available Saturday or Sunday)

* Tea, coffee and sugar will be available as a complimentary service.

* All bookings are to be made a minimum of seven days prior to the date required.

* Where the facility is left in an untidy or unclean state (includes dishes) the user will be levied an additional minimum charge of $100.00.

* Damage to the facility, fittings and fixtures by the users, their agents or participants will be investigated and repair costs will be charge to the organisation booking the conference centre.

* Full day hire will apply if the required time covers majority if a busniess day (e.g. 10am to 2pm)

Organisation Delegate Signature:

RDHS Delegate Use:

Total meal costs:

Total booking amount:

Purchase Order number:

RDHS Delegate Signature: