Application for Venue Hire – Mona Vale SLSC ABN: 55 385 251 630 Surfview Parade, Mona Vale PO Box 16 Mona Vale NSW 1660 Email: [email protected]

Personal Information



Name Club Member YES / NO Phone contact details Email Date required Start and finish times Start at: Finish at: Expected number of people Hire room YES / NO Hire balcony YES / NO Event Type Driver’s license/state ID number

Equipment



Tables YES / NO Number required: Chairs YES / NO Number required: Other

FEES



Hire Fee ($44 per hour) Prepaid Term Hire ($33 per hour) Member Hire Fee ($33 per hour) TOTAL PAYABLE

Notes: The hirer must leave at the specified time and leave the room in a clean and tidy condition.

Payment Details



Cardholder Name Card Number Expiry date CCV Amount Cardholder Signature Cancellations must be made 6 working days before the booking date. Signature of Applicant: ....................................................................................................

Thank you for your business!

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