Cotesbach Village Hall Booking Form
Name (Hall Hirer)
*
Mr.
Mrs.
Miss.
Dr.
Lord.
Rev.
Sir.
Prefix
First Name
Last Name
Address (Hall Hirer)
*
House Name / Number
Street Address
Town
County
Post Code
Mobile Number (Hall Hirer)
*
Please enter a valid phone number.
Format: 0000 000 0000.
Email (Hall Hirer)
*
example@example.com
I have read and understood the terms and conditions
*
Confirm
When would you like to book the hall for
*
-
Day
-
Month
Year
Date of booking
What time would you like to book the hall from and to (please include setup and pack up time)
*
From
Until
until
To
Total 0.0
Is this a regular booking or a one off event
*
One Off Event
Weekly
Monthly
Quarterly
Annual
Purpose of rental
*
Estimated number of people attending
*
What facilities do you require the use of
*
Kitchen
Projector and Speakers
Additional Trestle Tables (4 available)
None of the above
Please provide details of 2 emergency contacts (name and mobile phone number)
*
Responsible Person
*
Hall Hirer
Another Attendee
Name (Responsible Person)
*
First Name
Last Name
Address (Responsible Person)
*
House Name / Number
Street Address
Town
County
Post Code
Phone Number (Responsible Person)
*
Please enter a valid phone number.
Format: 0000 000 0000.
Submit
Should be Empty: