Application for Hire of Mareeba Library Meeting Room

Applicant Details

Applicant Name *The applicant is the person responsible for making the application and need not be the owner of the land. The applicant is responsible for ensuring the information provided on all Mareeba Shire Council application forms is correct. Any approval that may be issued as a consequence of this application will be issued to the applicant.

Organisation Name

ABN

Postal address *

Address *

City *

State *

Postcode *

Email Address *

Phone Number *

Meeting Room Hire Details

Start date/time *Including set up time if applicable

End date/time *

When do you want to hire?

If you require a recurring hire, please attach a calendar indicating the dates required

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Description of the function *

Anticipated number of attendees *

Are table and chairs required? *

YesNo

Please specify the number of tables or chairs required

Event

Is the event private, commercial or not for profit? *

PrivateCommercialNot-for-profit

Is the event/activity open to the public? *

YesNo

Is the event/activity a fundraiser? *

YesNo

Is there an entry fee, or charge to attend or participate in the event/activity? *

YesNo

What is the fee or charge?

Group Type

Are you a commercial entity? *

YesNo

Is your organisation a non-profit, incorporated group or association of persons with the primary aim of conducting activities and providing services for community benefit? *

YesNo

Does your group rely predominantly on volunteer labour, community fundraising, membership fees and donations? *

YesNo

Does your group receive state or federal government operational grants and/or rely on a fee for service business model? *

YesNo

Declaration of Applicant

I declare the information provided by me in this application is true and correct.

I have read and understand the Hall Hire conditions.

I am aware waste management and clean up requirements are to be arranged by the applicant.

Applicant Signature

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Collection Notice: Mareeba Shire Council is collecting your personal information under the Local Government Act (Qld) in order to process your hall hire application form. Your personal information will not be used for any other purpose and will not be disclosed to any other entity or person without your express consent or we are required by law. Your personal information will be handled in accordance with the provisions contained within the Information Privacy Act 2009 (Qld).

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