Churchill FNC Venue Request Form
Please fill in the details below
Customer Details
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Venue Questions
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Facebook
MemberJungle
Instagram
Other
What room do you require?
*
Hazelwood Room (Large)
Members Lounge (Small)
Both
Do you require use of the bar?
*
Yes
No
Unsure
Do you require use of the kitchen?
*
Yes
No
Unsure
Do you require a list of vendors for catering purposes?
*
Yes
No
Unsure
How many people will be attending your event?
*
Under 50
50-80
80-100
100-120
120+
Other (please specify below)
Number of people attending
*
Please Specify
What is your function for
*
What date is your function for
*
What date do you require for your proposed function?
-
Day
-
Month
Year
Date
Submit
Should be Empty: