STANDARD Clocktower Ticketing Form Clocktower Centre – STANDARD Ticketing Form June-Dec 2022 1. CONTACT INFORMATIONPlease read this form carefully. All sections need to be completed and returned at least two weeks before events can go on sale. Contact the Box Office on (03) 9243 9191 if you have any questions. Presenter's Name(Required)Presenter Name will appear on the first line of the ticketEvent/Performance Title(Required)Event Title will appear on the second line of the ticketTicketing Contact Person(Required)Contact Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone Number(s)(Required)Email(Required) 2. TICKETS ON SALETicket onsale date [Please note that this is subject to availability. You will be contacted to confirm the actual on-sale date. On-sale dates can only be allocated once we receive this completed form & no more than two months ahead of the on-sale date.]Ticket onsale date 1st preference(Required)Please note that sales will go live from 10am MM slash DD slash YYYY Ticket onsale date 2nd preference(Required)Please note that sales will go live from 10am MM slash DD slash YYYY 3. TICKET AUTHORITY3.1(Required)Sales information can only to be given to (names):3.2(Required)3.2 Complimentary Tickets can be authorised by (names):3.3(Required)Sales Reports can be emailed to you. Please select the frequency: Monday Wednesday Friday 4. EVENT INFORMATION4.1Please provide the Clocktower Centre with sufficient information and any promotional material as soon as possible so that the Box Office staff will be better equipped to sell your event. Your event will be listed in the “What’s On” section of our website. Please enter an event Description (Max. 150 words. Please note this may be edited)4.2(Required)Will you be providing an image? Yes No ImageIf you don’t currently have one, please provide the image to enquiries@clocktowercentre.com.au prior to your event going on sale. Otherwise please upload belowAccepted file types: jpg, jpeg, png, gif.4.3Is there anything in this production that is likely to OFFEND or UPSET patrons? Offensive Language Mature themes Smoke / Haze / Strobe Lighting Nudity / Sexual Content Other (please specify below) 5. SEASON DETAILSPERFORMANCE DATE(Required) DD slash MM slash YYYY PERF START TIME(Required) Hours : Minutes APPROX PERF FINISH TIME(Required) Hours : Minutes PERFORMANCE DATE DD slash MM slash YYYY PERF START TIME Hours : Minutes APPROX PERF FINISH TIME Hours : Minutes PERFORMANCE DATE DD slash MM slash YYYY PERF START TIME Hours : Minutes APPROX PERF FINISH TIME Hours : Minutes ESTIMATED DURATION OF EVENT(Required)ACT 1:INTERVAL: 20 minutesACT 2:INTERVAL: 15 minutesACT 3:6. YOUR TICKETING REQUIREMENTSPlease note: Changes to the event set-up after the event has gone on sale may incur additional charges.6.1(Required)Ticket areas to sell: [All events are Reserved Seating unless agreed by us.] Stalls only (291) Stalls and Circle (505) (Standard set-up) Stalls, Circle & Orchestra Pit (545) (Reduces stage size. Please discuss with us first as set-up cannot be changed later). 6.2 Online ticketing Most events will be available for on-line tickets sales. If there is a reason why your event should not be made available online, please discuss with the Box Office Supervisor. Please note that most online sales will now be available until the performance start time. If restrictions apply to online sales, additional fees may apply to your event. Please discuss with us first, before preparing your ticketing information. The Box Office will not be able to manage printed lists. Please note: Patrons booking on-line are charged a transaction fee of $6 per booking. A maximum of 10 or 20 tickets can be purchased online per booking. This cost is charged to the Patron at the time of their booking. 6.3.1 Promoter Seats [VIP/Guests]How many seats are to be held for VIP/Guests and where? (Note that any changes/additions to Promoter Holds must be in writing (email)). 6.3.2 Promoter Seats [includes Sound/Video seats]If you are unsure about Sound/Video seats, we will hold these until your production meeting. I require seats to be held for Sound Operator I require seats to be held for Video Recording 6.4 Purchase limitations(Required)Is there a limit to the number of tickets a patron may purchase? Yes No If 'Yes' how many?Is the show suitable for children under 5 years of age?(Required)Is the show suitable for children under 5 years of age? Yes No Is the show suitable for children under 15 years of age?(Required)Is the show suitable for children under 15 years of age? Yes No 7. TICKET PRICE DETAILSPLEASE NOTE THAT A $4.15 SURCHARGE APPLIES TO ALL TICKET TYPES. THE PRICE YOU NOMINATE HERE MUST INCLUDE THIS SURCHARGE. Choose the Type(s) that you wish to apply to your event.TICKET TYPE(Required) SINGLE (Everyone pays a single price) ADULT CHILD [14 and under – must be accompanied by an adult or concession ticket] STUDENT (Full Time) CONCESSION (All) [Concessions include Senior Card/ Age Pensioner/Healthcare] GROUP FAMILY (Applies to 4 people. Either 2 Adults/2 Children or 2 Adults/2 Concession) OTHER SINGLE PRICEADULT PRICECHILD PRICESTUDENT PRICECONCESSION PRICEGROUP SIZEGROUP PRICE (PER TICKET)FAMILY PRICE (FOR WHOLE GROUP of 4)OTHERPlease specifyOTHER PRICE ***All ticket prices above must be inclusive of ticket surcharge and GST where applicable. Detail of Charges (Ticket Surcharge, comps and sundry charges will be included in the event Settlement): Inside charge ‘Ticket Surcharge’ of $4.15 per ticket sold (includes GST) Patrons are currently charged a transaction fee of $6 for the total booking Tickets issued as Complimentary (Comps) will be charged at a cost of $1.05 per ticket Children’s Policy The Clocktower Centre requires everyone over the age of 18 months to have a paid and allocated ticket. Children under the age of 18 months may sit on someone’s lap, without requiring a ticket. All children under the age of 18 years old need to be accompanied by an adult guardian or parent. Companion Card The Clocktower Centre complies with disability anti-discrimination legislation in supporting the Companion Card for all events. 8. IMPORTANT INFORMATION FOR YOUR EVENT PROMOTIONWe recommend that you keep a copy of this page or this Ticketing Sheet for your reference. The Box Office phone number is (03) 9243 9191. Please ensure this number is correct on all publicity, newsletters, posters/flyers, social media, etc. The name of our venue is CLOCKTOWER CENTRE, not Clocktower Theatre, and the venue address is 750 Mt Alexander Road, Moonee Ponds. Clocktower Centre Box Office hours are Monday to Friday, 10am to 4pm. The Box Office will also be open at least one hour prior to the performance time. Website address for on-line bookings is clocktowercentre.com.au Please ensure this address is correct on all publicity, newsletters and posters. Please inform the Clocktower Centre in writing of any promotions, ticket giveaways or publicity arrangements. This is especially important once your tickets go on sale – an ad in the paper can mean a lot of calls to our Box Office and if we know this in advance, we can roster extra staff if required. All Artwork (eg posters) require Clocktower Centre approval to ensure that details are correct. We are able to see if patrons would like to opt in to receive information from the event organiser or promoter. If you would like to access this, please advise us before the event is set up. No unpaid reservations (except for Groups of 10 or more) will be taken; online, phone pre-sales (card only) and counter sales (cash and card) only. Personal Cheques are not accepted. However, EFT payments can be made, upon request. Please sign and write your name below to indicate your understanding and agreement of the Clocktower Centre’s ticketing requirements. Signature(Required)If you are not able to sign please upload an image of your signature.Accepted file types: jpg, jpeg, Max. file size: 128 MB. Name(Required) First Last