Booking Form - Iver Village Hall

Hirer / Applicant Details

Hirer / Applicant Name *

Promoter / Company / Organisation (if applicable)

Address *

Country

City

State

Zip code

Email *

Mobile Phone Number *

Function / Event Details

Date *

Time - From *

Time - To *

Times to include all setting up and clearing away. Any extension to these times must be agreed and will be charged.

Purpose of Event *

Number of People *

Age of Attendees *

Under 18 years

Over 18 years

Will alcoholic drink be sold? *

If yes, please see Condition 1g of the Conditions of Hire

Yes

No

Hire of Facilities

Crockery and Cutlery

£1.00 per set (details on request). Number of sets required.

Agreement of Hire

I agree to pay the above charges, agree to all the Conditions of Hire and will be responsible for compliance with licence conditions and of safety, security and damages. I confirm (if applicable) that I have the authority of the company / organisation to agree to this hire.

Terms and Conditions *

I confirm that I have read, understood and agree to the Conditions of Hire

I understand that my booking will not be confirmed until a completed copy of my booking form and deposit of £30 has been received and acknowledged.

Signature of Hirer

Reset Signature

Date *

I, the, hirer confirm that I am aware of the following and will comply with the relevant rules laid out in the terms and conditions of hire:

Name *

Signature of Hirer

Reset Signature

Date *

Payment Details

BACS: HSBC ACCOUNT
Account: 71038443
Sort Code: 40-27-34

Please make cheques payable to IVER COMMUNITY ASSOCIATION