Sir Cecil Jacobs Auditorium : Request Form

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Sir Cecil Jacob's Auditorium Applications:
Please read the Auditorium Terms and Conditions for Hire and the Schedule of Fees before completing this application form.

Requests for and all matters relating to the use of the auditorium must be made three (3) months prior to use. All correspondence should be addressed to the Auditorium Manager.

Maltin Moving Conference Centre Applications
Please refer to the Schedule of Fees for pricing information before completing the application form for the Conference Centre.

Please fill out the following form to request use of the Auditorium or Conference Centre.

I would like to request the use of:

Date of Application:

/ /

Hirer

Name:

Address:

Email:

Contact Numbers:

home:

work:

Detailed Purpose of Event (please attach a programme for the event)

Date of Event:

from: / /
to: / /

Time of Event:

Type of organisation:

Profit Non Profit

Dress Rehearsal:

Yes No

Would a fee be charged for this performance?:

Yes No

Number of persons to attend function:

Special Requirements
(seating):

Special Requirements
(equipment):