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Kickstart Arts Venue Hire Application Form
This form is for new and existing venue hirers to submit a request to use one of Kickstart Arts' high quality spaces. The information given here will help us assess the suitability of the room to your needs and help us calculate a price. If you have any questions please call Stefan on 0488 012 211. For our Hire Terms and Conditions, please go to:
http://www.kickstartarts.org/hire-terms
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* Indicates required question
Email
*
Your email
About you and your organisation
First Name
*
Your answer
Surname
*
Your answer
Phone number/s
*
If you have a landline and a mobile phone, please provide both.
Your answer
Organisation
Your answer
ABN (if applicable)
Your answer
Registered Charity Number (if applicable)
Your answer
Which of these best describes you/r organisation
*
Choose
Not-for-profit/charity organisation
Business/Sole Trader
Community/Cultural Group
Unfunded individual
Government
Other
Postal Address for invoicing
Your answer
Do you have public liability insurance for your event?
Yes
No
Clear selection
Alternative contact person
If more than one of you are responsible, please provide a second person's details here.
Your answer
Alternative email address
If more than one of you are responsible, please provide a second person's details here.
Your answer
Alternative contact phone number/s
If more than one of you are responsible, please provide a second person's details here.
Your answer
2. Is this your first time hiring out a Kickstart Arts venue?
*
Yes
No
Other:
4. How did you hear about Kickstart Arts
*
Social Media
Google / Search Engine
Email / Newsletter
Newspaper
Flyer or poster
Radio
Word of Mouth
Dept Health Intranet
Other:
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