Serpentine Room

Name: *

Company Name:

ABN Number:

Postal Address:

Phone Number: *

Email *

Venue required: *
Boardwalk TheatreFishtrap TheatreFoyersDance StudioMezzanineGreen RoomSerpentine RoomALCOA Mandurah Art Gallery

Preferred dates: *

Event name: *

Event start & end time:

Type of event: *
PerformanceConferenceFunctionWorkshopOther - please specify:

Brief event description:

Will your event be ticketed?
Yes

Approximate number of attendees expected:

Will your event require equipment hire?
Yes
If yes, please specify your equipment hire requirements:

Will your event require catering?
Yes
If yes, please specify your equipment hire requirements:

Are you a community or not-for-profit organisation?
Yes

Please list additional information or questions here:

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