HIGH HALSTOW VILLAGE HALL
APPLICATION FOR USE OF VILLAGE HALL FACILITIES
Extent of Premises Hired – Hall
– Waiting Room
Dates Required _______________________________
Function Time from ______________ to _______________
Access Time from ________________________________
This will be a private/ public event (delete as appropriate)
Approximate number of persons attending _______________
Maximum Numbers Allowed 200 Standing/120Seating
Name of Hirer ________________________________
(Representative if Organisation)
Organisation (if applicable) ____________________________
Home Address _________________________________
Daytime Contact Number ____________________________
I enclose payment representing re the following:
Hiring Fee £________
I enclose a cheque made payable to High Halstow Recreation Committee in the sum of £50.00 as deposit against any damage loss or cleaning expenses. As regards the deposit I understand that if any damage, loss or cleaning requires the expenditure of more than £50.00, I will be responsible for the payment of the balance.
I agree to the terms and conditions of hire above and attached.
Cancellation notice of less than one month before the function will incur a charge, which will be determined by the Hall Committee.
Please return this form (together with deposit cheque and hiring cheque) within seven days otherwise your provisional booking may be cancelled.
The HALL COMMITTEE agrees to permit the HIRER for the purpose and times stated above:
Print Name _________________________________