Resource Centre Booking Form
Church House,1 South Parade, Wakefield, WF11LP
About you
Title
Please Select
Mr
Mrs
Miss
Revd
Dr
Other
First name
*
Surname
*
House number/name
*
Street
*
Town
*
City
Post code
*
Telephone number
Mobile number
Email
*
About your Church
Parish/Church
*
Deanery
*
Please Select
Almondbury
Barnsley
Birstall
Brighouse & Elland
Calder Valley
Dewsbury
Halifax
Huddersfield
Kirkburton
Pontefract
Wakefield
Other
About your booking
Date to borrow
*
-
Month
-
Day
Year
Date
For use on
*
-
Month
-
Day
Year
Date
Date to return
*
-
Month
-
Day
Year
Date
Do you want...
*
Collection from Church House Wakefield
Delivery to a collection point within your Deanery.
click here
o
to check for the next available delivery
About your order
Please give as much information about the item as you can, for example; title and author.
item 1
item 2
item 3
item 4
item 5
item 6
item 7
item 8
item 9
item 10
Someone will contact you to confirm your booking
when they are next in the Resource Centre.
I agree to...
*
Take care of items borrowed
*
Ensure items returned are in a re-usable condition
*
Return items on date and time agreed
*
To replace or reimburse any items damaged or lost
Submit
Should be Empty: