CHURCH HALL BOOKING FORM - complete online.

Under new regulations we need your consent to use this information to contact you about anything to do with this booking:	Please tick to continue.
I agree that Ashbourne Group of Churches may store the information I have summited to make this booking in digital format for a period of up to one year after the date of the hall booking.:	Yes No
Name of organisation or individual:
Contact Telephone Number:*
Contact email address:
Postal address:
I wish to book:*	the main hall the main hall including kitchen the small meeting room
Nature of event:
Date of event:
Start time:
Finish time:
I confirm that the start and finish times include adequate time to set up before and clear way afterwards.:	Yes
Surname of resposible adult making Booking :
Charge for booking; please see drop down list for all options:
I wish to use the cookers in the kitchen at a charge of £20.00:	Yes No
I hereby confirm that I have read, understand and accept the terms and requirements as published. I confirm that I am the person responsible for the premises and its contents during the times stated above. I am 18 years or older.:	Yes
Additional information:
Signed:
Please print name:
Dated:
I will be paying by:	Cheque payable to PCC of Ashbourne Internet Banking Other (please specify)
I need an invoice prior to making payment:	Yes No
I need a receipt upon making payment:	Yes No
Alcohol to be served:	Yes No
Licence applied for:	Yes No
Bring your own:	Yes No
Booking ID: Please type the date and month of the booking in format DDMM followed by your surname. This must be used when making payment by internet banking or be written on the reverse of your cheque (see booking information page):
Please enter the verification number:*
* Required Fields