Birchover Community Centre Room Hire

First Name *
Last Name *
Address *
City *
Post Code *
E-Mail *
Mobile No. *
Guests *
Date of Event *
Type of function *
Room 1 *

Yes No
Room 2 *

Yes No
FOYER *

Yes No
Kitchen *

Yes No
Electrics *
Start Time *

: Hour Minutes
FinishTime *

: Hour Minutes
Cleaned up

Yes No
Dep. Refunded

Yes No
Rooms paid
Dep. Paid
BELOW THIS LINE IS FOR OFFICE USE ONLY
No of Guests
Please read the terms and conditions of hire from the 'Room Hire' menu on our website.
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