Lettings Room Enquiry Form

Lettings Room Enquiry Form

To request a room, please fill in and submit the form below
Full Name/Organiser*

First NameLast Name
Individual/Organiser Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
E-mail*
example@example.com
Meeting Date/Time Start*

DayMonthYear
Date
Hour MinutesAM/PM Option
Meeting Date/Time Finish*

DayMonthYear
Date
Hour MinutesAM/PM Option
Number Attending*
Event title/Nature of room hire*
Equipement Required

ProjectorPC & Internet AccessOther
If you ticked other please complete
Should be Empty: