Brian Dillons Club / Bar Rental Form
Name
First Name
Last Name
Brian Dillons Club Member
Yes
No
Name of club member to vouch for you
*If not a club member
Address
Email Address
Contact No.
Bar or Hall?
Bar
Hall
Date Required
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Reason for hire (30th, christening etc.)
Note we do not take 18ths
Expected number attending
Additional information (food, entertainment etc.)
Submit
Should be Empty: