MPBC - 21st Birthday Celebration Booking Form
If you have any questions whlist competing this form, please do not hesitate to contact the office on (08) 9384 7951 or email functions@mossies.com.au
Member's Name
*
First Name
Last Name
Contact Number for on the Date
*
Please enter a valid phone number.
Format: (00)00-000-000.
Membership Number
Name of Birthday Person
First Name
Last Name
Date of Function
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Number of people attending:
*
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Facilities and Extras
Please select the any of the facilities and extras you would like for your function.
Facilities
Kitchen Hire (Included)
BBQ Hire (Included)
Crockery and Cutlery Use (Included)
Extras
Projector/TV
Cordless Microphone
Lecturn
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Catering
What are your catering plans?
Please Select
I have arranged a caterer
I have arranged a food truck
I am self-catering
I am having food delivered to the Club
I will not be serving food during my function
Caterer's Company Name (if applicable)
Arrival Time
Hour Minutes
AM
PM
AM/PM Option
Any Extra Information
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Music and Entertainment
Do you have any music/entertainment organised?
Please Select
I would like to use the Club's sound system for music
I have organised a DJ
I have organised live music
Other
If you selected "Other" to the above question please let us know your plans here
Name of Entertainment
Entertainment's Arrival Time
Minutes
AM
PM
AM/PM Option
Any Extra Information
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Hall Set-Up
I would like to use the allocated hour of Pre-Function Time to decorate and set-up.
*
Yes
No
If you would like Additional Pre-Function Time (additional cost), please let us know what time you would like access to the Club and we will do our best to accomodate you.
Hour Minutes
AM
PM
AM/PM Option
Our team provide set-up for the basic table arrangements as well as our tablecloths and chair covers, if hired. Please select how you would like the Hall to be set-up for your function below:
*
Cocktail Style - Standard/booth style seating for 40pl, 4 x high bar tables, Plus Patio seating for 48 people
Seated Style - Seating for your number of guests (including booth style seating), Plus Patio seating for 48 people
Customized Arrangement - I would like to make an appointment to discuss my set-up
Function Room Set-up Details
Please add any other details for your function set-up here
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Drinks and Bar Tabs
Under our license the hirer must be a member of the Club and is responsible for their party. If the hirer is having a bar tab no other members are required. If a bar tab is not being used, there must be one member present for every six people. These memberships are included within your venue hire charge and can be applied for on the date of your booking. If you would like to discuss your bar tab please contact our Bar Manager - manager@mossies.com.au.
Will you be having a bar tab?
Yes, I will be having a bar tab for the extent of my booking.
Yes, I would like to have a bar tab for a certain amount and then go to a cash bar. My guests will join as Introductory Social Members.
No, my guests will be purchasing their drinks individually and my guests will join as Introductory Social Members.
Bar Tab Amount
If you do not have a limit but would like to be notified once you hit a certain amount, please enter it here.
Bar Tab Requests/Restrictions
*
Please Select
I would like to have an open bar
I would like to offer Beer, Wine and Soft Drinks ONLY
I would like to create a customized bar tab from the Club's Drinks List
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Security
Security must be provided (by a registered company) - 1 guard per 50 guests, and a copy of the booking emailed to the office at least 2 weeks prior to the event. The security guard must be booked from the beginning of the function until at least 1/2hr after the function is finished.
Company Contact Name
*
First Name
Last Name
Company Contact's Number
*
Please enter a valid phone number.
Format: (00) 00-000-000.
Security Booking Confirmation
*
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