Clinic Room hire payment Clinic Room Hire record First NameLast NameEmailWeek ending (week ends Sunday)For this week are you paying rents by the Full/half day rate Sessional rate Hourly rateSessional percentagePreviousNextFull days rent are charged at $90. Half days are charged at $50 and are either 9am-2pm or 230pm-730pm. (Discounts applied for 3 or more day/half day usage)How many full days did you use a clinic room this week? 0 1 2 3 4How many half days did you use a clinic room this week? 0 1 2 3 4What were your takings from individual sessions (excluding sessions covered by half/full day rents)How many hours did you use the room (hourly rate)DiscountDiscount domainHourly rateHourly rate discountFull day rentFull day rent discountHalf day rentHalf day rent discountSessional rentSessional rent discountTotal RentPreviousNextPayment Method Pay by Card (processed securely by Stripe - attracts small processing fee) Pay by bank transfer/cashPay by Card (processed securely by Stripe - attracts small processing fee)Card processing feeNo payment items has been selected yet Previous Submit Form