APPLICATION FOR REGULAR HIRE

REGULAR BOOKING REQUEST
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Facility *

Main Hall Committee Room
Additonal Facilities

Bar Stage Lights Sound System
Required Timeslot *

Daily Weekly Monthly
Details of Hire *
Please enter start & finish times, start & end dates, purpose etc.
Should be Empty:

REGULAR BOOKING REQUEST