Event Name:
Presenter or Company Name:
Name:
Email:
Phone:
Address:
Account Name: BSB: Account Number:
(Ticketing income is transferred via EFT)
ABN:
(If you don’t have an ABN please contact the Ticketing Supervisor))
Alternative authorised contact(s):
(May request changes/complimentary tickets)
Preferred on-sale date:
Venue
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Darebin Arts Box Office Ticketing Form
Darebin Arts and Entertainment CentreNorthcote Town Hall
Main Auditorium (385)* Main Hall (300)
Main Auditorium (373 without galleries)* West Wing – Studio 1 (123)
Other West Wing – Studio 2 (87)
(Please specify: ) Other
(Please specify: )
*Seating Style:
Darebin Arts & Entertainment Centre’s Main Auditorium is allocated/numbered seating.
Tick here if you would like your event to be general admission.
Event Dates/Times:
DATE(S) / DAY / START TIME / INTERVALSTART TIME / FINISH TIME
*Interval must be a minimum of 20 Minutes.
*Please only list ticketed performances NOT rehearsals.
Ticket Prices
Please list the total price to the customer, including venue per-ticket inside charges:
(You are not obliged to offer all of these prices, nor to limit your ticket types to these below.)
Full/Standard:$
Concession: $ (Students, Heath Care Card holders)
Child: $ (Default maximum child age is 15, please specify alternative preference: )
Group: $ (Specify min group size, otherwise venue default is 6: )
Family: $ (4 tickets, max 2 adults)
If you wish to offer other prices/ticket types (including previews, cheap nights, early bird, competitions, give-aways and other special offers) please note the details of your request in the space below.
Held Seats
If you would like to hold seats for film/photography, special guests etc, please include details here (including performance date/s and preferred seat locations):
Complimentary Tickets
You may request a maximum of 10% of your venue capacity as complimentary tickets, these are charged at the Complimentary rate. Complimentary tickets must not be on-sold.
Children under 2 years of age will be admitted to the venue free of charge as long as they are seated on a ticket holders lap. If you do not wish this to happen please select the appropriate reason:
It’s a children’s show: All children 12 months and over must buy a ticket.
The event is not suitable for babies due to content and/or noise levels.
Event description
Please supply text to be displayed on your ticket sales page:
Image
Please email a square image, min 600 x 600 pixels, to
Warnings/ Age Suitability
Detail age suitability and any warnings such as strong language, nudity, strobe lighting, smoke effects:
Latecomers
Are customers permitted to enter the theatre once the performance has started?
Yes Yes but at certain times
NoPlease provide details:
Photography
Photography is not permitted unless specified below:
Photography Permitted Flash Photography Permitted
Box Office Locations and Contact Details
Northcote Town Hall, 189 High Street, Northcote VIC 3070. Ph. 03 9481 9500
Darebin Arts and Entertainment Centre, Cnr Bell St & St Georges Rd, Preston VIC 3072 Ph. 03 8470 8280
Box Office Hours
Monday to Friday, 9am to 5pm and from one hour prior to performances (closed public holidays)
Online ticket sales are available 24 hours a day, up to 2 hours prior to performances
Sales Reports
You will be provided with a user name and password to check your event sales online via the ticketing system.
Settlement Times
Within 5 working days of your final performance date you will be provided with an interim ticketing report. These figures will be reconciled by our financial department, after which you will receive a final settlement report and the funds will be transferred via EFT. Therefore please allow approximately four weeks from the end of your event for receiving full settlement.
Darebin Arts Box Office Ticketing Fees and Charges
Valid to June 30, 2015
Charges to hirer:
Per ticket inside charge
Commercial$3.15
Standard$2.60
Not For Profit (Incorporated and registered.) $2.10
Per complimentary ticket*
General Admission$0.80
Reserved Seating$1.60
Selling your own tickets (per ticket)$3.15
Charges to customer:
Per transaction additional charge
Per telephone booking$4.00
Per internet booking$2.10
*Complimentary tickets are made available for people with a disability who require a companion to enable them to access arts and community activities, through the Companion Card program. These complimentary tickets will not incur any fees or charges to the hirer/event.
*The venue will hold four House seats for every performance for use at the discretion of venue management. Unused House seats will be released for sale if not required. Allocated House seats will not incur any fees or charges.
To view the Darebin Arts Box Office Ticketing Policy visit;
Agreement
I have read and understood the fees information and ticketing policy.
I have paid all applicable deposits.
I have current public liability cover and have provided a copy of my certificate.
I understand that if all conditions are met, tickets will go on sale within 5 working days of submission of my fully completed form, or on the date I have nominated (whichever is later).
I understand that full settlement will be paid up to four weeks following the final performance date, and have provided correct bank details for receipt of the EFT payment.
Signature: ______
Name:
Date:
Please submit this form to the Ticketing Supervisor Luana Boothey at with a scanned or photographed copy of page 4 showing your original signature.
For assistance completing or submitting this form please call Luana on 03 8470 8903.
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Darebin Arts Box Office Ticketing Form