Fillable Form Fm-7-301 - Equipment Loan Application Form (Page 3 of 3) in pdf

Form Fm-7-301 - Equipment Loan Application Form Page 3

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PO Box 3130, Bundaberg QLD 4670

190 Bourbong Street, Bundaberg QLD 4670

1300 883 699

4150 5410

ceo@bundaberg.qld.gov.au

ABN 72 427 835 198

COLLECTION LOCATIONS 9.30AM-2.30PM MONDAYS OR FRIDAYS ONLY

(unless by prior arrangement)

EVENTS ITEMS- Marquees, Witches Hats, Bollards & BBQ Trailer

Bundaberg Kalkie Depot – Cattermull Avenue, Qunaba (near Port Roundabout)

EVENTS ITEMS- PA System, Promotional Signage

Bundaberg - Community Services Branch , 157 Bourbong Street, BUNDABERG Q 4670 (opp Council Administration Centre)

PORTABLE GRANDSTANDS

Please call Sport & Recreation Section on 41304170 to arrange collection and return of ALL portable grandstands held in Bundaberg,

Childers & Gin Gin.

Office Use Only

Office Location/Delivery Location -

_________________________________________________________________________________________

Collection - I acknowledge that I have received all items as requested above;

Variance__________________________________________________

Hirer Signature: ___________________ Officer: __________________ Dated: ______________

Return - I acknowledge that I have returned all items issued in good condition and undamaged;

Hirer Signature: ___________________ Officer: __________________ Dated: ______________

Comments:________________________________________________________________________________

Event Staff Office Use Only

Officer Notification – Internal Functions Advice (Group Email) □ Yes □ No

Other Officer

_____________ Date Sent: __________ Reminder required □ Yes □ No Date Sent:_________

(name

)

Equipment Booking Calendar - Completed □ Yes □ No Dated: ______________

Park/Venues Booking Calendar Check Completed □ Yes □ No Dated: ______________

Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The information

will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or the like. Your information

will not be given to any other person or Agency until you have given us permission or we are required to by law.

FM-7-301 Rev.2 09/05/12 P3 of 3