Online Form - JD Hardie Venue and Event Hire

Contact Name *

Organisation Name

Organisation Type

ABN

Email Address *

Phone Number *

Venue *

Event Description

Event Dates (For multi-day bookings please enter all dates) *

Number of attendees *

Additional Equipment

ChairsTablesWhiteboardKids Club Equipement ($155.00 per 2 hours)Tea/Coffee/Water ($2.00 per person)PA System & Microphone ($155.00 per day)Projector/Screen/Laptop ($150 per day)

Booking Time (Please enter event start and finish time including set-up and pack down) *

Event Type *

Do you have Public Liability Insurance? *

YesNo

By submitting this form, for and on behalf of the Hirer, you acknowledge and agree that the Hirer is required to comply with the Town of Port Hedland's Facility Hire Terms and Conditions and warrant that you have the appropriate authority to form an agreement on behalf of the Hirer.

Full Name