Booking Form
Function Date *
MM
/
DD
/
YYYY
Full Name - First and last name *
Your answer
Your Home Address *
Your answer
Phone Number 1 *
Your answer
Phone Number 2
Your answer
Function Address *
Home Address, Club, Hotel or Function Centre name and address
Your answer
Are there any steps where the jukebox is going to? Maximium of 3 steps only for a Push Button Jukebox *
Please Answer NO / YES - If Yes How Many Steps
Your answer
Email Address *
Your answer
Jukebox Model *
$50 Booking Deposit Required
Christmas Day and Boxing Day (2 day hire) *
$50 Booking Deposit Required
New Year's Eve Jukeboxes *
$50 Booking Deposit Required
Karaoke Option On Touch Screen & Button Jukeboxes
Extra Delivery Quoted
$50 Security Bond is Payable with your Jukebox Hire *
Refunded Back on Pick Up
Required
$50 Booking Deposit - ALL JUKEBOX HIRES *
Please pay by EFT - Use your Name for Deposit Reference
Required
Priority Delivery Fee $20 Extra *
Only Tick if you wish to nominate your own delivery time. If not please contact us a day before your function for your allocated time. Please advise your times at the end of this form
Required
Priority Pick Up Fee $20 Extra *
Only Tick if you wish to nominate your own delivery time. If not please contact us a day before your function for your allocated time. Please advise your times at the end of this form
Required
Payment Preference *
BSB 638-060 Account No: 7481764 Account Name: A & A Stewart Jukebox Hire
I Have Read and Agree to the "Conditions of Hire" Agreement *
Conditions of Rental Agreement 1. INTERPRETATION 1.1 Definitions “Application Form” means the rental agreement application form completed by the hirer which shall form part of the agreement. “Delivery Address” shall mean the address to which the hirer has requested the Jukebox be delivered for hirer’s use. “Hirer” means the party or parties named as hirer on the application form. “Jukebox” refers to the Jukebox hired under this agreement by A & A Stewart Jukebox Hire. 2. HIRE OF JUKEBOX 2.1 A & A Stewart Jukebox Hire agrees to rent a jukebox to the hirer for use on the date indicated in the application form on the terms set out in this agreement. 3. PAYMENT OF HIRING FEE AND SECURITY DEPOSIT 3.1 The security bond of $50.00 and the balance of the rental fee will be payable by the hirer on delivery of the jukebox. 3.2 A collection fee of $20 will be payable by the hirer if the jukebox is not available for collection on the set collection day and time arranged. ( ie. hall or house is locked or unattended ) 3.3 All dishonoured cheques fees will be paid by the hirer. 4. DAMAGE TO / LOSS OF JUKEBOX and / or other items on HIRE FROM A & A STEWART JUKEBOX HIRE 4.1 The hirer is the person totally responsible for the safe keeping of the jukebox from the time of delivery to the time of collection. 4.2 The hirer agrees to pay A & A Stewart Jukebox Hire the scheduled price for the Jukebox and / or lighting if the Jukebox or equipment hired is lost, stolen or damaged between the time of delivery to the time of collection. The scheduled prices are $6933 + GST for the Jukebox and $200 + GST for lighting hired. All costs are to be paid by the hirer immediately upon demand by A & A Stewart Jukebox Hire. 4.3 The hirer shall be responsible for ensuring the that jukebox is kept undercover at all times and is not exposed to rain, water, high humidity, direct sunlight, heat or any other damaging factor. 4.4 The hirer shall be responsible for the safekeeping of the Emergency Key and shall not open the sealed envelope containing the key unless authorized by A & A Stewart Jukebox Hire. Failure to comply will result in forfeiting $50.00 Security bond. 5. *** VERY IMPORTANT *** POWER CONNECTION and POSITIONING. A & A Stewart Jukebox Hire will supply a short 5 meter extension cord if necessary. The maximum extension cord length permitted is 10 meters, measured from the first power point (NOT a plug board). The hirer shall be responsible for ensuring the that jukebox is kept undercover at all times and is not exposed to rain, water, high humidity, direct sunlight, heat or any other damaging factor. The jukebox is to be kept under a permanent shelter ie. Covered roofed patio for protection against the weather (NO MARQUEES, TARPAULINS, TENTS OR IN THE OPEN AIR). The Jukebox must be placed on a stable wooden deck or cement patio The hirer must store the Jukebox and equipment in a locked room after the function for safe keeping overnight. NO GENERATORS PERMITTED , MUST BE MAINS SUPPLIED POWER ONLY. 6. SECURITY BOND In the event the jukebox and/or lighting and equipment is collected by A & A Stewart Jukebox Hire in an undamaged state the security deposits will be refunded to the hirer at that time. A cleaning fee may be charged and deducted from the security bond if the Jukebox is not presented in the same clean condition as when delivered. The security bond will not be refunded if the required / requested assistance is not given by the hirer or pre- arranged persons on the pick up day. 7. STORAGE 7.1 *** VERY IMPORTANT *** The hirer will be responsible for storing the jukebox in a locked room when not in use. The hirer agrees the Jukebox and equipment is to be stored in a locked room after the function for safe keeping overnight. The hirer agrees to pay A & A Stewart Jukebox Hire the scheduled prices as stated in Paragraph 4 4.2 if the Jukebox or equipment hired is lost, damaged or stolen during the period of hire. 7.2 Jukeboxes hired at halls will be collected immediately after the function. The hirer must remain at the hall with the Jukebox once the jukebox is delivered until the time of collection. 8. FAILURE OF MALFUNCTION OF JUKEBOX 8.1 A & A Stewart Jukebox Hire is not responsible for any damage caused in the event of a failure or malfunction of the jukebox. 8.2 A & A Stewart Jukebox Hire offers an afterhours backup service up to 11pm. If the jukebox fails to operate the hirer must phone A & A Stewart Jukebox Hire when a problem occurs and the jukebox will be fixed or replaced. No refunds will be given when the jukebox is collected if A & A Stewart Jukebox Hire are not notified. Liability to the hirer in such circumstances that the jukebox cannot be fixed or Jukebox replaced during the event shall be limited to a maximum of a complete refund of the hiring fee less delivery & pickup fees. 8.3 The hirer agrees to indemnify A & A Stewart Jukebox Hire in relation to any claims by persons or entities who are not parties to this agreement arising out of the failure or malfunction of the jukebox during the time of hire. 9. LIGHTING HIRE 9.1 The customer agrees to take down all lighting and have packed up and ready by the time the driver arrives to collect the Jukebox and equipment. 9.2 The cost of any repairs or replacement of lighting will be deducted from the security bond held by A & A Stewart Jukebox Hire. Any additional costs of repair or replacement costs incurred in excess of the security bond are to be paid by the hirer immediately on demand by A & A Stewart Jukebox Hire as stated in clause 4. 10. CANCELLATION 10.1 A & A Stewart Jukebox Hire receives written notice of cancellation of the hire arrangements from the hirer at least 30 days before the Function Date then a full refund of booking deposit will be made immediately. 10.2 If written notice of cancellation is not received at least 30 days before the Function Date A & A Stewart Jukebox Hire may keep the booking deposit, however the hirer shall be entitled to a credit which may applied to book one (1) other Function Date which must be within 18 months from the original booking date. Such alternative bookings may be made by or on behalf of a third party other than the hirer.
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