St JAMES COMMUNITY CENTRES
BOOKING FORM
VENUE REQUIRED
Venue Choice
Please tick
Cost per hour
(All prices inclusive of VAT)
St James Community Centre
Hall
£18.00
St James Committee Room
£13.50
St James All Areas
£24.50
Date(s) Required
Hour(s) Required
(to include set up/clearing away)
From: To:
Name of Hirer/Organisation
Address
Telephone No
Mobile
Landline
Email Address
Invoice Address
(if different from
above)
Telephone No
Mobile
Landline
Email Address
Type of Function/Activities to be
undertaken during the booking
Expected number of people
attending
Morpeth Town Council Office:
01670 514314
Emergency out of hours
Deputy Town Clerk:
07494 325509
rgsf
Will under 18’s be taking part
In this event?
Yes
No
Name and contact details of
responsible person
Is furniture required?
No. of Chairs
No. of Chairs
Is furniture set-up required?
(Chargeable service)
Yes
No
Purchase Order Number
Registered Charity Number
Registered Charities will qualify for a 25% discount if you have a registered charity number.
Will alcohol be served?
Yes
No
If yes, have you applied for a
Temporary Events Notice?
Will electronic equipment be used?
Yes
No
If yes, have you supplied a PAT
Test Certificate?
Will music be played?
Yes
No
If yes, do you have the
appropriate licence?
Please read
Bookings cannot be confirmed without a completed and signed booking form;
A charge of 50% of the hire charge will be made for cancellations of less than 48 hours;
Cancellations of less than 24 hours (or no shows) are liable to a payment of the whole hire
charge;
I confirm that there will be adequate supervision of children;
I declare that I have read and understood the Terms and Conditions of Hire and agree
that they shall form part of the terms of this agreement;
I declare that the information I have given in this agreement is correct to the best of my
knowledge and I acknowledge that any misstatement or misrepresentation will invalidate
this agreement.
Name
Signature
Date
OFFICE USE ONLY
Alcohol form received?
Yes
Date received
N/A
Copy of TENS received?
Yes
Date received
N/A
Insurance info received?
Yes
Date received
N/A
PAT Testing Certificate
Received?
Yes
Date received
N/A
Diary Updated
Confirmation Sent to
Total Cost
Invoice number
Payment Date & Type
Auth Code