Hirer: _______________________________________________
Address: _______________________________________________
_______________________________________________
_______________________________________________
Post Code: _______________________________________________
Tel: (Daytime) _________________ (Evening) _________________
Nominated Fire Officer: ____________________________________
Address: _______________________________________________
_______________________________________________
_______________________________________________
Post Code: _______________________________________________
Tel: (Daytime) _________________ (Evening) _________________
Date(s) Required: __________________________________________
Rooms Required: HALL ANNEXE AUSTIN ROOM
(please circle)
Times:
(Entry into building to begin preparation): _______________
(Leaving the building after tidying and
removal of all equipment): _______________
Licence required for sale of alcohol? _______________
Total cost of hire: £ ___________
Deposit / Full payment enclosed: £ ___________
Security deposit enclosed: £ ___________
I / We accept the terms and Conditions as stated
Signature:_____________________________ Date:________________