Single
Purley on Thames Parish Council
The Barn Booking Form - Single Request
Please check with the Assistant Clerk prior to completing this booking form, that the date you would like is
available (tel: 0118 9844507). Please then complete this form and return it to the Assistant Clerk, Parish Office,
Goosecroft Lane, off Beech Road, Purley on Thames, Reading, RG8 8DR with your payment and deposit.
Name of hirer
Address
Telephone
Mobile
Email
Organisation (if relevant)
Position in organisation
Organisation address
Are you claiming a Purley connection? If so on what basis?
Required hire date
*Large Hall
*Small Hall
Required hire period: start time
finish time
* Please tick as appropriate
Please note your function must end at
22:30
hours.
Clearing up time between 22:30 and 23:00 hours
.
Reason for hire
Number of people expected to attend
Capacity Large Hall : 150 Small Hall : 50
Will any sub-contractors (e.g. caterers, entertainers) be involved
If yes please give name, address and contact
details
Name of company
Address of company
Contact Name
Phone number
If there is more than one contractor indicate here and add details on separate sheet
I confirm that I am over 18 years old and I have read and understood the conditions of hire for Purley on Thames Barn
dated January 2014 and will comply with them.
I enclose a deposit of
Cheques must be made payable to Purley on Thames Parish Council.
Do not send the hire fee with this form - an invoice for this will be sent from the Office when the booking becomes firm.
Signature
Date
Name (print please)
As there is currently no telephone at the barn please ensure that
you have a mobile with you in case of emergency.
A NOISE LIMITER IS INSTALLED IN THIS BUILDING
No
No additional contractor
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome