Esky Use Agreement Form
Affiliated Clubs/Societies
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Refundable deposits required for hire
Weekday Rate - $20  /  Overnight Rate - $40  /  Weekend Rate - $60
Name of Club/Society/JCU Faculty: *
Contact Person: *
Contact Phone: *
Contact Email: *
Date of Hire: (Mon - Fri) *
MM
/
DD
/
YYYY
Pick up Time: (8:30am - 3:00pm) *
Time
:
Date of Return: (Mon - Fri) *
MM
/
DD
/
YYYY
Time of Return (8:30 - 3:00pm) *
Time
:
Purpose/Event Description *
Location of where the item/s will be used:
[Overnight/weekend only] Location for where the equipment will be stored under lock and key:
Quantity *
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