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0115 958 2973

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0115 9582973

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Full Name

Address

Postcode

Home Telephone

Mobile Telephone

Email Address

Date of Event

Start Time

Finish Time

Type of Event

If Other, please specify

Approximately how many people will attend

Main Hall (250 people capacity)

Small Room (10 people capacity)

Large Room (20 people capacity)

Kitchen (only for warming food)

PA Sound

Flip chart

Overhead Projector/ Powerpoint

Laptop

Refreshments (additional charge)

Meals (additional charge)

Other

None

If Other, please specify

Please state your requirements

Please state any additional requirements