Parish Centre Hire Request

Address: 87 Bridge Street, Tamworth.  NSW  2340
Contact us at (02) 6765 822 or westtamworthparish@armidale.catholic.org.au
Sign in to Google to save your progress. Learn more
Email *
Organization
Contact Person
Purpose
Date of Hire *
MM
/
DD
/
YYYY
Time of Hire Start
Time
:
Time of Hire Finish
Time
:
Do you hold insurance *
Required
Name of Insurer
I understand that I will have to pay bond prior to use of the Parish Centre. *
Required
OFFICE USE ONLY - Date Key Issued
MM
/
DD
/
YYYY
OFFICE USE ONLY - Date Key Returned
MM
/
DD
/
YYYY
OFFICE USE ONLY - Hire Fee
OFFICE USE ONLY - Bond Paid $500
Clear selection
OFFICE USE ONLY - Date Confirmed
MM
/
DD
/
YYYY
OFFICE USE ONLY - Date Fee Paid
MM
/
DD
/
YYYY
OFFICE USE ONLY - Details for Bond Refund
Clear selection
OFFICE USE ONLY - Payment Method
Clear selection
OFFICE USE ONLY - Bond Refunded
Clear selection
COMMENT
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy