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Parish Centre Hire Request
Address: 87 Bridge Street, Tamworth. NSW 2340
Contact us at (02) 6765 822 or
westtamworthparish@armidale.catholic.org.au
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Email
*
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Organization
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Contact Person
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Purpose
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Date of Hire
*
MM
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DD
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YYYY
Time of Hire Start
Time
:
AM
PM
Time of Hire Finish
Time
:
AM
PM
Do you hold insurance
*
Yes
No
Required
Name of Insurer
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I understand that I will have to pay bond prior to use of the Parish Centre.
*
Yes
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OFFICE USE ONLY - Date Key Issued
MM
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DD
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YYYY
OFFICE USE ONLY - Date Key Returned
MM
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DD
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YYYY
OFFICE USE ONLY - Hire Fee
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OFFICE USE ONLY - Bond Paid $500
Yes
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OFFICE USE ONLY - Date Confirmed
MM
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DD
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YYYY
OFFICE USE ONLY - Date Fee Paid
MM
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DD
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YYYY
OFFICE USE ONLY - Details for Bond Refund
Option 1
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OFFICE USE ONLY - Payment Method
Option 1
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OFFICE USE ONLY - Bond Refunded
Yes
No
Other
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COMMENT
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