Application Form - Die Stal

STELLENBOSCH UNIVERSITY

: X1, Matieland, 7602; : (021) 8089463

APPLICATION FOR USE OF THE STAL (Please complete in full)

1. Name of organisation : 2. Postal Address : Code : 3. Nature / Purpose of event : 4. Date of event : 5. Duration of event : From : Till : 6. Do you need the bar and barman : (Yes or No) 7. Expected turn-out : Ladies : Men : Total : 8. Will refreshments be served ? (Yes or No) 9. If you make use of a Caterer, please supply the NAME : and TELEPHONE NUMBER : 10. Details of reception (eg cocktail party, cheese and wine, barbeque, etc) :

11. If a sponsored gathering, please supply us with detailed information regarding the advertising material that you plan on using : 12. Preparation date of facility : From : Till : Person responsible for preparation : Telephone numbers : (B) (H) 13. Applicant’s undertaking : On behalf of the Association/Club/Company/Organisation I hereby agree to the conditions and stipulations on the use of the facilities of the University as explained on the attached page regarding the Rules. I accept full responsibility for any damages that might occur to the property/furniture/equipment of the University during the function/gathering. I fully understand that the University is not responsible for any damages as result of any fault or defect of the buildings or equipment; that the University is not responsible for any damage or loss of anything allowed, brought or left at the premises; and also that the University is allowed to cancel this booking at any time without any reason. I agree to pay the rent and deposit (where applicable) for the facilities and extras as requested, on the date that the Sports Bureau specified. 13.1 Initials and Surname : 13.2 Title : 13.3 Capacity : 13.4 Postal Address : 13.5 Telephone : (B) : (H) : Cell : Fax :

SIGNATURE DATE