UNE Room Booking Form
ABN ( If applicable ):
Contact Person Name:
Contact Person Phone
Organisation Address or
Organisation Email Address :
Organisation Phone Number: Fax Number:
Venue 1 Venue 2 Venue 3 Venue 4
Preferred Location or Space
(Refer to Room Schedule):
Alternative Location or
Space (if preferred not
Frequency of Use:
Type of Use: Teaching Performance Meeting Other
Explain if other:
Note: Please fax this form to Facilities Management Services on 6773 6403 for the scheduled charges
to be determined before proceeding any further.
This section is to be completed by Facilities Management Services to quote the scheduled charges based
on the above booking requirements.
I / We understand and agree to abide by the Terms and Conditions contained within the Conditions of
Hire and CB Newling Usage Policy and the Licence Agreement (if a Licensee) and acknowledge that I /
We have received this documentation.
I / We accept the scheduled fee for hire.
Name: Signature: Date: _ _ / _ _ / _ _ _ _
Fee Structure Commercial Community Notes:
Service Levy Applicable Yes No Notes:
Conditions & Fee Structure Agreed Conflicts Checked Booking Entered
Is a Custodian Required for this booking: Yes No Notes:
Has the user completed the CB Newling Registration Form: Yes No