Application For Club Hire Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1CityState / Province / RegionPostal CodeEmail *Home NumberMobile Number *Date Requested: *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Start Time Requested:Finish Time Requested: *Purpose for Hire: *Estimated Number of Guests: *The room accommodates approximately 60 people.Are you a Member of MBGALC *NoYesBar Required: *NoYesKitchen Required: *NoYesKitchen Utensils Required: *NoYesI have read and understand the terms and conditions of Merimbula Big Game & Lakes Angling Club hire policies, procedures, and hirer responsibilitiesFirstLastSignatureDate DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CommentSubmit