EBPA Hall Hire Online Form

Required Information

Information in the following section marked with an asterisk (*) is required in order to submit this form.
Booking ID*
The ID shown in the email mentioned in step 1
Full Name*

First NameLast Name
If you are hiring the hall in name of a business, please confirm:
Name of the business
What is the purpose of the function?
E-mail*
Phone Number*

Area CodePhone Number
I will use my own Home and Contents policy or have arranged special once-off insurance for this event.I am hiring the hall in the knowledge that in the event of a mishap, my guests and I will not be covered. Personal liability insurance for my guests and I is not provided by the EBPA.
Security deposit $300 – mandatory, but refundable after the event. Refer clause 13
I agree to pay the security deposit of $300.
Your bank details for refund of the security deposit:*
BSB*
Account Number*
Outdoor furniture: $25BBQ: $25Utility charge (example: pump for jumping castle): $25Utility charge (Other item A): $25Utility charge (Other item B): $25TV: Free of charge
If you wish to use the TV, you agree to the conditions outlined in clause 1.16 and agree to cover costs in the event of damage or loss. Please note the TV is only compatible with Android, not Apple. By prior arrangement, a code will be sent to you to access the remote control.
Weekday hall booking two hours plus booking fee: $55Weekday hall booking three hours plus booking fee: $75Weekday hall booking four hours plus booking fee: $95Weekday hall booking five hours plus booking fee: $115Weekend / public holiday hall booking four hours plus booking fee: $235Weekend / public holiday hall booking five hours plus booking fee: $275Weekend / public holiday hall booking six hours plus booking fee: $315Weekend / public holiday hall booking seven hours plus booking fee: $355Weekend / public holiday hall booking eight hours plus booking fee: $395Weekend / public holiday hall booking nine hours plus booking fee: $435Weekend / public holiday hall booking ten hours plus booking fee: $475
Any other questions or comments
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Please check your form for errors and if ready to submit, read the following statement, check the box and click Submit.
Please note that submitting this form does not guarantee your booking. Only once the full payment is received will your space be reserved. Full payment is due in 3 business days from submitting this form. If payment in full is not received by the due date you risk cancellation.

Once payment is made, please email a copy of the transfer receipt to the Hall Manager, at the following email address: ebhallbookings@gmail.com

PAYMENT: Pay via credit card using "PAY VIA STRIPE" button below, or direact bank transfer to Empire Bay Progress Association Inc.
(Bendigo Bank) BSB: 633 000 Account number: 168335677
(Please include your name and date of event in your reference)
Note: Cash or personal/business cheques are not accepted.

After submitting this form and making the payment, please email a copy of the transfer receipt to ebhallbookings@gmail.com. The Hall Booking Officer from the Empire Bay Progress Association will be in touch with you by email with the booking confirmation or any further requests.
Total payment due (AUD):
Signature*
Date*

DayMonthYear
Date
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Required Information

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