Clone of Exodus Coleraine Booking Form

Exodus Coleraine Enquiry Form

Please complete this form to enquire about using our Coleraine Centre
Group Leaders Name

First NameLast Name
Your Group Name
Please tell us the name of the organisation on your insurance, not your youth group. E.g. Paris Presbyterian Church, not 'Alive Youth Group'
Group Leaders E-mail
example@example.com
Group Leaders Phone Number

Area Code (eg.+44)Phone Number
Requested Rooms to Use
Number of Attendees
MAX 100
Preferred Booking Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Hour MinutesAM/PM Option
Preferred Departure Time

Hour Minutes

AM/PM Option
Alternative Booking Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Alternative Departure Time

Hour Minutes

AM/PM Option
My Products
prevnext( X )
Half Day Exodus Coleraine Booking Fee
This covers the cost of venue rental at Exodus Coleraine for 4 hours or less

£75.00 Quantity

Full Day Exodus Coleraine Booking Fee
This covers the cost of venue rental at Exodus Coleraine for more than 4 hours

£120.00 Quantity

Total

£0.00
Should be Empty:

Exodus Coleraine Enquiry Form