phone us at 03 332-7359
email us at info@risingholme.org.nz

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Venue Form

Name/Group/Organisation:

Contact Person/Treasurer:

Name:

Address:

Home Phone:

Work Phone:

Email:

Fax:

2nd Contact Person/Treasurer:

Name:

Address:

Home Phone:

Work Phone:

Email:

Fax:

Room:

Time/Dates/Days:

Tick box(es) which apply to your group:

Community Activity Programme
Recreation, Health, Social, Cultural or Educational Group

Self Employed Tutoror Franchised/Programme Provider
Privately operated activity or leisure programme

Assemblies, presentations or Seminars

Commercial
Business function/presentation/traingning/seminar

Meeting
AGM/meeting

Other / Specify Below

Tick box(es) which apply to your group:

YouthAdultElderlyChildren

How many people in your group:

Risingholme Community Centre Inc., 22 Cholmondeley Ave, Opawa, Christchurch • Phone: (03) 332 7359 • Fax (03) 332 7357 • Email: info@risingholme.org.nz
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