PERSONAL DETAILS
Contact (First Name)
Contact (Last Name)
Company/ Organisation:
Address:	ACT NSW NT QLD SA TAS VIC WA Postcode:
Phone (9am-5pm):
Mobile:
Fax:
Email:	*required

EVENT DETAILS
Number of performances:
Single date only	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012 Time/s
Range of dates	From: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012     To: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012 Times
Bump in: Time	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012
Bump out: Time	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012
Please choose:	Required set-up 200 seat theatre seating Cabaret seating Movie screening Lecture set Flat floor
or other:
Number of cast / performers involved:
Please briefly describe your event :
Technical requirements:	Audio Visual Staging Lighting Electrical
Please describe your technical requirements :
Do you require technical support?	Yes No
Do you have public liability cover?	Yes (to the value of): No
Please supply details of any equipment you are bringing:
Does your electrical equipment have a current electrical test tag?	Yes No
Are you using any special effects? (Fire, smoke, water, elevated staging or traps, strobe lighting)	Yes        No Please describe any special effects.
Comment:
Our Event Coordinator will contact you shortly to confirm date availability & discuss your event requirements."