EmailMe Form - Cookley Village Hall Meeting Room Booking Form

Name of Hirer *

First Last

Hirer must be over 21 years of age.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

For State/Province/Region enter County
For Postal/Zip Code enter Post Code

Telephone Number *

Mobile number

Email *

Date of event *

DD / MM / YYYY

Start time of event *

Needs to include any preparation time for set-up and removal of personal equipment

End time of event *

Type of event e.g. workshop, meeting etc *

Organisation name (if applicable)

Is this event for *

local use

private (but not local hirer)

community organisation

commercial use

Rooms required *

Main Hall (without tables and chairs)

Meeting Room 2 (seats 20-30)

Meeting Room 2 and bar (seats 20-30)

Meeting Room 1 (seats 12-16)

Kitchen

Main Hall - if you require this with tables and chairs, please use the Function booking form

Room Layout *

Conference style

Classroom style

Number of people expected at event *

Additional information e.g. special requirements.

Optional extras for Meeting Room 2 only

Crockery @ £0.75 per setting

Cutlery @ £0.75 per setting

Glassware @ £0.75 per setting

Cleaning charge of £20.00 will be required if food and drink consumed.

£ Pounds . Pence

Payment details

For cancellation charges see Terms and Conditions at https://sites.google.com/site/cookleyvillagehall/booking-fees

Room hire charge *

£ Pounds . Pence

This includes the set up and take down of tables and chairs.

Cost of extras

£ Pounds . Pence

Refundable Deposit *

£ Pounds . Pence

See Terms and Conditions on web site for details

Total costs *

£ Pounds . Pence

Payment type *

On-line bank transfer to Cookley Playing Fields and Village Hall, Sort Code 30-92-93, Account Number 69186360. State your surname and event date in the reference field.

Cheque (payable to Cookley Village Hall)

Conditions of Hire

I have read, understood and accept the Terms and Conditions of Hire for the Cookley Village Hall found at http://www.cookleyvillagehall.co.uk/booking-fees

Insert name here to confirm acceptance of Terms and Conditions *

Date form completed *

DD / MM / YYYY

Deposit refund

Please provide bank account details for refund of deposit by on-line transfer.

Sort Code

Account Number

Please note a copy of this form will be emailed to you as a record of what has been requested.
Your booking is NOT confirmed until the deposit is received and a deposit receipt and confirmation notice has been sent to the Hirer.