MEMORANDUM OF HIRE OF FACILITY
GISBORNE MASONIC CENTRE
HIRER DETAILS
Email
*
example@example.com
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address 2
Suburb
State
Post Code
Contact Number
*
Format: 0000000000.
HIRE DETAILS
Hire Date
*
/
Day
/
Month
Year
Date
Hire Duration
*
Half Day Morning: 9am - 1pm
Half Day Afternoon: 1am - 5pm
Full Day: 9am - 5pm
Night: 5pm - 12am
Other (please select time bracket below)
Other - Time Bracket
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Purpose of Hire
*
Description of expected usage of hall
Other Requirements
Additional booking sessions / use of tables and chairs / use of kitchen etc...
TERMS & CONDITIONS
As hirer, I acknowledge and agree to the following obligations
Public Liability Insurance ( Corporate Hire Only)
Browse Files
Drag and drop files here
Choose a file
Please upload Certificate of Currency for Public Liability Insurance Cover for an amount not less that $20 000 000 (twenty million dollars)
Cancel
of
Acknowledgement by Hirer
Signature
*
Date
*
-
Day
-
Month
Year
Date
Continue
Continue
Should be Empty: