Hill Street Centre Booking Form
Booking Date
*
-
Month
-
Day
Year
Date
Customer Information
Organisation
*
Contact Name
*
First Name
Last Name
Address
*
Town
*
County
*
Postcode
*
Contact Email
*
example@example.com
Contact Telephone
*
-
Area Code
Phone Number
Session Information
Date(s) of Session(s)
*
Session Frequency
*
Please Select
One-off
Weekly
Monthly
Other - please detail below
Please let us know the frequency you require if "Other"
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Room Selection
*
Large Meeting Room
Coffee Lounge
Boardroom
Kitchen
Sports Hall
Studio
HIVE Classroom A
HIVE Classroom B
HIVE Open Hub Space
Extras
Key Set Needed (£50 deposit required)
1 set of keys
2 sets of keys
3 sets of keys
Number of people for tea/coffee (£1 per head)
Flip Chart and paper (£5.00 per session)
Yes please
No thanks
Projector (£10.00 per session)
Yes please
No thanks
Agreement
Terms & Conditions
By submitting this form, you confirm that you understand and agree to the payment conditions for one-off and regular bookings, including the requirement for a damage deposit where applicable.
Agreement Date
*
-
Month
-
Day
Year
Date
Full Name
*
First Name
Last Name
Job Title
Signature
*
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Email
*
example@example.com
Emergency Contact Telephone
*
-
Area Code
Phone Number
Invoicing Details (if different from above)
Invoicing Contact Name
First Name
Last Name
Invoicing Address
Invoicing Town
Invoicing County
Invoicing Postcode
Invoicing Email
example@example.com
Invoicing Telephone
-
Area Code
Phone Number
Submit Booking
Submit Booking
Should be Empty: