Bridge Community Centre Booking Form

I hereby apply, subject to the conditions of let, for the use of facilities detailed below at the above Centre.

Name of Organisation (if applicable):
Address:
Telephone Number:

Applicant's Name:
Applicant's Address (if different):
Telephone Number (daytime):
Telephone Number (evening):

Name and address of Treasurer or person to be contacted regarding payment for rooms (if different from above)
Treasurer Details:
Treasurer Telephone Number:

Purpose of Booking:
Date, Time and Room required (1):
Date, Time and Room required (2):
Date, Time and Room required (3):
Date, Time and Room required (4):
Room layout, number of chairs / tables required, etc:
Other facilities required (kitchen, AV facilities, etc:

The applicant hereby agrees to be bound by the conditions of hire, a copy of which he/she has received and by the scale of charges applicable and agrees that the delivery of the confirmation of booking shall be binding acceptance of this offer.

Form Controls: