Venue Hire Application - Moree Plains Shire Council

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
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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
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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