Venue Hire Application Moree Memorial Hall & Banquet Hall To be completed and returned in order for your booking enquiry to be actioned. Hirer Details Name/Company Name Page 1 of 3 ____________________________________________________________________________ Postal Address OFFICE USE ONLY Receipt No ______________ Amount $ ______________ Date ___________________ Receipted by __________ ____________________________________________________________________________ Town Postcode _____________________________________________ ______________________ Contact Name Position _____________________________________________ Telephone ______________________ Mobile _____________________ Fax ______________________ ______________________ Email Address _________________________________________________________________________________________________ Facility (tick facility required) Moree Memorial Hall Banquet Hall Function Details Purpose of Use ____________________________________________________________________________ Date of Function Start Time ______________________ ______________ Set up (day of function) No Yes Start Time Finish Time ______________ Finish Time ______________ Set up (day prior) No Yes Not before 12.00pm Category: Start Time ______________ Finish Time ______________ Private / Community ______________ Corporate / Commercial Number of Attendees ___________________ Will alcohol be present Further Information Moree Plains Shire Council Level 2, 30 Heber Street PO Box 420 MOREE NSW 2400 Tel: 02 6757 3222 Fax: 02 6752 3934 [email protected] No Yes Provided to your guests and served over the bar (BYO is not permitted for any events), or Included in cost of ticket for event or sold over the bar. A copy of Liquor License must be supplied 10 days prior to function Resources Required PA System Gallery (Memorial Hall only) Data Projector & Screen Kitchen/Bar Whiteboard Dressing Rooms (Memorial Hall Only) Use of Chairs: No Yes Number Required: __________ Use of Tables: No Yes Number Required: __________ Stage & Lights Insurance Copy of Public Liability Insurance to the value of $20mil which indemnifies Moree Plains Shire Council and the Hirer must be supplied 10 business days prior to function. Confirmation of Applicant Page 2 of 3 Council reserves the right to accept or refuse any or all applications of hire. A letter will be forwarded to the applicant as confirmation of this booking. The booking fee is required to be paid upon submission of this application. Declaration of Applicant I agree with the provisions and requirements of making this application as set out in the following pages. Applicant Name ______________________ Applicant Signature Date _____________________ _______________________ Lodgement Details You can lodge the completed application by: Mail: PO Box 420, Moree NSW 2400 In Person: Level 2, 30 Heber Street Moree NSW 2400 Email: [email protected] Fax: 02 6752 3934 What Now: After your application has been received it will be processed within 14 working days. For further information regarding your application please contact us by: Telephone: 02 6757 3222 Privacy & Personal Information Protection Notice Further Information Moree Plains Shire Council Level 2, 30 Heber Street PO Box 420 MOREE NSW 2400 Tel: 02 6757 3222 Fax: 02 6752 3934 [email protected] Purpose of Collection: Hiring of booking Council Venue Halls Intended Recipients: Council Staff and approved contractors of Moree Plains Shire Council Supply: Voluntary. A consequence of non provision is that insufficient information may result in delays of rejection. Access/Correction: Contact Moree Plains Shire Council to access or correct this information Storage: Moree Plains Shire Council, Level 2, 30 Heber Street Moree NSW 2400 Table Settings and Decorations The Hirer is to provide layout requirements to Council as to the positioning of tables and chairs. It is the responsibility of the Hirer to: Set tables Clear tables at the completion of the function Arrange decorations – No confetti, glitter, chewing gum, fireworks, matches, cigarettes, wax, flammable liquids Remove decorations at the completion of the function or as determined by Council. All decorations used in the Memorial Hall/Banquet Hall must be of a fire resistant nature or treated with an approved chemical agent to retard the spread of fire. Make sure that no naked flames/candles of any sort are permitted or used inside or outside the hall– L.E.D. candles only Nails, screws or other fastenings must not be driven into or attached in any way to the walls, floors, roof, timberwork, furniture, fittings fixtures or equipment. Adhesive tape must not be attached to the paintwork and must be removed from tables and chairs prior to leaving the hall. It is the Hirer’s responsibility to ensure that any material used as a curtain, blind, signage, flag or any similar décor in any part of the Venue, including the stage must have a Flammability Index (based on a formula in AS1530.2) of no greater than 6, consistent with the BCA NSW Specification C1.10. Tables and chairs are not allowed to restrict or limit access to Fire Fighting Equipment, Emergency Exits, doorways, passageways and breezeways as required by the Theatres and Public Halls Act and Regulations there under. Additional Information Beer kegs and ice buckets are restricted to breezeway No polish or other wax products are to be used on the floors. All spills are to be immediately mopped up. The “Wet Floors” sign is to be placed on any wet area immediately a spill occurs. No double adaptors are permitted however power boards with overload switches may be used. All electrical leads must be taped to the floor. There is to be no climbing on furniture, no running, sliding, skating, roller-blading or use of scooters, either inside or outside the hall. Do not drag tables or chairs on the floor, If moving the stairs make sure that the lock is off. Animals are not permitted to be on the site. Keep the rear driveway clear during the event, bringing cars in for set-up or cleaning is to be kept to a minimum. It is the responsibility of the Hirer to familiarise himself, herself or themselves with the attached Evacuation Plan. It is the Hirer’s responsibility to ensure that all those in attendance, being guests or staff, are aware of the location of the exits and of the procedures to be followed under the Evacuation Plan if there is a need to evacuate the building. It is the responsibility of the Hirer to ensure that guests and staff are aware of the location of the assembly point and to ensure that in the event of an evacuation that all persons in attendance have been accounted for. Venue Hire Conditions Page 3 of 3 Venue Hire Agreement To be completed and returned 10 working days prior to the event. Declaration of Applicant I/we the _________________________________________________________ ,incorporated Name of Organisation/Club and Contact Person Page 3 of 3 under ___________________________________________________________ and the activity Type of Statue (if not applicable write N/A) that I am/we are undertaking is conducted by _________________________ . Name of Association I/We agree that the said premises shall be used for the sole purpose of ___________________ Description of Event ___________________ and no other purpose. I/We agree that I or my Principal shall observe, perform and fulfill the terms and conditions set out in the Venue Hire Conditions for the Moree Memorial Hall/Banquet Hall and that such terms and conditions shall be deemed to be incorporated into and form part of this agreement. I/We further agree that my Principal or I shall pay to the Moree Plains Shire Council: All fees as determined and outlined on the Tax Invoices provided/to be provided; All damages/expenses or costs incurred due to damage to property, inappropriate public behaviour, vandalism or cleaning requirements arising from or occurring during the preparation and/or function times will be deducted from the security bond. I agree with the provisions and requirements of making this application as set out above. Applicant Name ______________________ Further Information Moree Plains Shire Council Level 2, 30 Heber Street PO Box 420 MOREE NSW 2400 Tel: 02 6757 3222 Fax: 02 6752 3934 [email protected] Applicant Signature Date _____________________ _______________________ Fees and Charges Page 2 of 3 Fees and Charges Page 3 of 3 Pantry Checklist Please complete and return 10 working days prior to event. Access to pantry items is only available upon payment of Kitchen/Bar Hire Fee. Crockery Qty Entrée/Dessert Plate - 200mm 600 Large Dinner Plates - 280mm 300 Soup/Dessert Bowl - 175mm 600 Bread + Butter Plate - 165mm 300 Cane Bread Basket 30 Salt + Pepper Shaker Checked Out Checked In Variance No Required Checked Out Checked In Variance No Required Checked Out Checked In Variance 60 sets Small Milk Jug 24 Large Milk Jug - 305ml 6 Sugar Basin 29 Cappuccino Cup - 210ml 204 Cappuccino Saucer 204 Cutlery Qty Soup Spoon 300 Table Fork 300 Dinner Knife 300 Dessert/Entrée Fork 600 Dessert/Entrée Knife 600 Dessert Spoon 300 Teaspoon 204 Bar Qty Beer Jug (polycarbonate) 114 Middy Glass (polycarbonate) 384 Rock/Water Tumbler (polycarbonate) 420 Carafe 44 Champagne Flute (polycarbonate) 180 Red/White Wine Glass (polycarbonate) 387 Stainless Steel Wine Bucket 30 Pantry Checklist No Required Page 1 of 2 Access to pantry items is only available upon payment of Kitchen/Bar Hire Fee. Kitchen Equipment Qty Urn 1 Deep Oven Tray 3 Boiler 3 Large Stainless Steel Bowl 3 Large Stainless Steel Strainer 1 Plastic Platter (Various Sizes) 20 Wooden Serving Spoon 2 Perforated Spoon 6 Serving Spoon 31 Plain Ladle - 180ml 3 Plain Ladle - 122ml 3 Tongs 6 Bain Marie Dish (Various Sizes) 6 Cutlery Drainer 5 Microwave 1 Deep Fryer 1 Plastic Trolley 2 Pantry Checklist No Required Check Out Check In Variance Page 2 of 2 Linen Hire Checklist Please complete and return with your ’Venue Hire Application’ should you wish to hire table linen. Please specify your requirements in the ’No/. Required’ box for each item and return with your Venue Hire Application. The cost to hire linen will be included on our tax invoice. Linen Qty White Tablecloth (to fit rectangle table) 70 Hire per tablecloth - $10.00 Black Tablecloth (to fit rectangle table) Hire per tablecloth - $10.00 White Tablecloth (to fit oval table) Hire per tablecloth - $10.00 Black Tablecloth (to fit oval table) Hire per tablecloth - $10.00 Napkin - White (linen) Hire per napkin - $1.00 Napkin - Black (linen) Hire per napkin - $1.00 White Spandex Cover (to fit cocktail table) Hire per table cover - $1.00 Black Spandex Cover (to fit cocktail table) Hire per table cover - $1.00 White Spandex Chair Cover Hire per chair cover - $1.00 Black Spandex Chair Cover Hire per chair cover - $1.00 White Table Skirting - 7m (polyester) Hire per skirting - $10.00 Black Table Skirting - 7m (polyester) Hire per skirting - $10.00 No Required Checked Out Checked In Variance 70 40 40 300 300 10 10 300 300 1 1 Table and Chair Checklist If you would like to utilise tables and chairs, please specify your requirements in the ‘No Required’ box for each item and return with your Venue Hire Application. Please note - hall hire rates includes setup and use of tables and chairs. Tables Qty Rectangle Table 60 Oval Table 20 Cocktail Table 10 Chairs Qty Upholstered Chair 198 Plastic Chair 425 Linen Hire and Table & Chair Checklist No Required Checked Out Checked In Variance No Required Checked Out Checked In Variance Page 1 of 1 Floor Plan Layout Please complete and return 10 working days prior to event. Please note: These layouts are not indicative of the actual numbers of Chairs and Tables to be provided, they are only a guide to assist you in specifying your preferred option. Floor Plan A - Theatre Style STAGE Maximum of 12 x chairs only in any row Floor Plan C - Wedding / Party Style STAGE Floor Plan Layour Floor Plan B - Ball Style STAGE Specify: Oval or Rectangle Tables Floor Plan D - Other (please draw layout below) STAGE Page 1 of 1 Evacuation Procedures New Account & Change of Details New Account Change of Name Address Notification New Account Details Please tick the department in which you require an account with: Admin Office Use Only Page 1 of 2 Record Number Water & waste Engineering P&CD Assessment Number: ___________________ Company / Business Name ____________________________________________________________________________ Date Received Trading As ____________________________________________________________________________ Owner’s Name ____________________________________________________________________________ Property Address ____________________________________________________________________________ Postal Address ____________________________________________________________________________ ABN Telephone Number _________________ Mobile Number _______________________ ____________________________ Email Address ____________________________________________________________________________ Contact Details (if different than above) Phone Name ____________________________________________ Fax/Email ____________________________ Mobile ____________________________________________ Position ____________________________ Date ____________________________________________ ____________________________ Signature of Owner/ Authorised Agent ____________________________________________ Bank Details Bank Name and Address ____________________________________________________________________________ BSB _________________ Account Number _______________________ Account Name _____________________________ References (Please provide three (3) business references 1. Name Further Information Moree Plains Shire Council Level 2, 30 Heber Street PO Box 420 MOREE NSW 2400 Tel: 02 6757 3222 Fax: 02 6752 3934 [email protected] ____________________________________________ 2. Name ____________________________________________ 3. Name ____________________________________________ 1. Telephone _____________________________ 2. Telephone _____________________________ 3. Telephone _____________________________ Change of Details Current Account with Council: Rates Water AR AP Previous Name/Company Name __________________________________________________________________________ New Name / Company Name __________________________________________________________________________ Page 2 of 2 Previous Postal Address __________________________________________________________________________ New Postal Address __________________________________________________________________________ I/we hereby agree to accept liability for all debts incurred by the above named applicant and to settle such debts within 30 days from the end of the month in which the tax invoice was issued. Position Date ___________________________________________ Signature _____________________________ ___________________________________________ ACCOUNT TERMS & CONDITIONS Should credit be extended to the Applicant as a result of the application, the Applicant hereby agrees to the following: 1. DEFINITIONS In these terms and conditions “MPSC” refers to Moree Plains Shire Council. “Applicants” refers to the Applicant who applies for the account. 2. PAYMENT You agree to make payments to MPSC in full on each invoice on or before the due date. MPSC reserves the right to suspend or terminate any or all of the Applicant’s credit facilities, with or without notice for reason of default by the Applicant of the terms and conditions by the Applicant if: a) MPSC was induced by misrepresentation by the Applicant to approve the credit facility to the Applicant; b) The amount charged to the Applicant’s credit facility exceeds the Applicant’s credit limit at any time without the prior written approval of MPSC; c) Any amount charged to the credit facility is due and unpaid; d) In the opinion of MPSC, there are changes in the Applicant’s ownership, control, status or ability to provide security for payment of the amounts which have or are likely to be charged to the Applicant’s credit facility: or e) The Applicant is subject to any form of insolvency administration, the Applicant being a partnership dissolve or the Applicant ceases to conduct business in the normal manner. Either party may at any time reasonably suspend or terminate the credit facility on seven (7) days written notice to the other party. Further Information Moree Plains Shire Council Level 2, 30 Heber Street PO Box 420 MOREE NSW 2400 Tel: 02 6757 3222 Fax: 02 6752 3934 [email protected] If MPSC suspends or terminates the Applicants’ credit facility, all debts, (plus interest if applicable) owing by the Applicant to MPSC will immediately become due and payable by the Applicant to MPSC. 3. INTEREST If payment is not received by MPSC on or before the due date you agree to pay interest on all amounts owing and not paid by such due date at the interest rate charged from time to time by MPSC. The interest will accrue from day to day
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