Venue Hire Request FormTwo business days’ notice is required for Venue Hire and Delivery of equipment.

APPLICANT DETAILSContact Name Phone:

Email

Company/Faculty

Postal Address

Commercial / Not For Profit Group ABN:

Internal only - Are you sponsoring an external client? If so, please provide name of client and include cost code below

FUNCTION DETAILSEvent NameEvent Type (workshop etc.)

Event date/s

Times Set Up Time Event Start Event Finish Departure Time

(Please include set-up/pack-up times required)

Facilitator Contact number

Venue Preference Number of Attendees

EQUIPMENT REQUIRED - please indicate how many

Bins Trestle tables Extra Chairs Video ConferenceUrn Cocktail Tables Poster Stand/s Tele ConferenceData Beam Computer A Frames PlantsPortable PA Microphone Internet Piano – Orange 3 and Orange 6.1.08 only

*Additional cleaning is required after any event involving food and/or beverages. (Internal clients please provide your cost code.)

Will attendees be consuming food / drinks? NO YES (Delete one)

If YES please highlight one of the following - Attendees bringing own Self-Catered Catering required

Will you be serving or selling any alcohol? NO YES Liquor Licensee -

External clients need to provide a copy of your Public Liability Certificate of Currency.Your event is not confirmed until a contract has been exchanged. A Confirmation email will be sent upon acceptance of the contract and Terms and Conditions.

Internal Clients Only – Date: Cost Code:

FORWARD COMPLETED FORM TO: roombookings@cdu.edu.auTelephone (08) 8946 6500 Email: roombookings@cdu.edu.au

Charles Darwin University, Ellengowan Drive, Darwin 0909 NT Australia

Extra charges apply for the options below