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Booking Request Form
BOOKING REQUEST FORM Registered Charity No. 223585 Date of Hire ….... /….... /……… Time Required From ……… To ……... Name of Hirer (must be over 21 years) ………………………………………………….. Address ……………………………………..……. Post Code ………… Contact Phone ………………… Email …………………………… Organisation or nature of event …………………………………………………………… Is this a public / private event? …………… No. of participants ……… NB: There is a £10 charge for use of the kitchen to be included in your booking fee. Will you be using the Stage? Yes / No Do you wish to sell alcohol at the event? Yes / No If YES, you must obtain permission from the designated Committee Member: Sue Crowley on 07929 569071, [email protected]. She will sign your booking form below if she agrees that alcohol can be sold. Signed by Committee member …………………………………… Date ………… I have READ, FULLY UNDERSTAND AND AGREE to the Conditions of Hire, the Premises Licence and the Health & Safety Policy of the Palmer Hall. Signed by the Hirer ……………………………………………. Date ……………. I also understand that I will lose my deposit, as stated in the Conditions of Hire, if I do not adhere to the said conditions. PLEASE RETURN THIS FORM TO: PLEASE PROVIDE 2 PAYMENTS: Contact Sue Crowley on 07929 569071, [email protected] for details of how to pay.
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