Booking Form If you are human, leave this field blank.Hirer / Applicant DetailsHirer / Applicant Name *Promoter / Company / Organisation (if applicable)Address *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeEmail *Mobile Phone Number * Function / Event DetailsDate *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 yearsOver 18 yearsWill alcoholic drink be sold? *If yes, please see Condition 1g of the Conditions of HireYesNo Hire of FacilitiesRooms requested *Main HallKitchenHuntsmoor RoomDelaford RoomCoppins RoomCrockery and Cutlery£1.00 per set (details on request). Number of sets required. Agreement of HireI 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 HireI 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 HirerReset SignatureDate * 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:Checkbox *A temporary event licence will be in place if alcohol is soldMusic will cease by 11:30pmFacilities will be cleaned at the end of the event All personnel will vacate the facility before the end of the booking periodRubbish will be removed or placed in the relevant binDoors will remain closed throughout the eventThe hirer will be available on the provided contact number throughout the eventUnder 18s will be supervised by a responsible adult at all times whilst on the premises Music and sound will be passed through the sound limiterThe damage deposit will be retained to cover any damageAll guests will leave the area quietly to avoid disturbing local residents Items will not be stuck on the wallsName *Signature of HirerReset SignatureDate *Payment DetailsBACS: HSBC ACCOUNT Account: 71038443 Sort Code: 40-27-34 Please make cheques payable to IVER COMMUNITY ASSOCIATION Submit