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Chair Use Agreement Form
Affiliated Clubs/Societies
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* Indicates required question
Refundable deposits required for hire
Weekday Rate - $20 / Overnight Rate - $40 / Weekend Rate - $60 (Rates per max 50 chairs)
Weekday Rate - $50 / Overnight Rate - $80 / Weekend Rate - $120 (Rates per max 100 chairs)
Club or Society Name:
*
Your answer
Contact Person:
*
Your answer
Contact Phone:
*
Your answer
Contact Email:
*
Your answer
Date of Hire: (Mon - Fri)
*
MM
/
DD
/
YYYY
Pick up Time: (8:30am - 3:00pm)
*
Time
:
AM
PM
Date of Return: (Mon - Fri)
MM
/
DD
/
YYYY
Time of Return: (8:30am - 3:00pm)
*
Time
:
AM
PM
Purpose/Event Description
*
Your answer
Location of where the item/s will be used:
Your answer
[Overnight/weekend only] Location for where the equipment will be stored under lock and key:
Your answer
Quantity
*
Your answer
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