Room Booking

First Name *

Last Name *

Name of Organisation (If Applicable)

Status of Hirer *

Address of the Hirer - Line One *

Address Line Two

Town *

Post Code *

Contact Email Address *

Contact Telephone Number *

Date(s) You Wish To Hire Room *

Which Room(s) Do You Wish To Hire *

Main Hall Wyre Room Cafe Space Severn Room

Description of Your Planned Event *

Start Time of Event *

End Time of Event *

Time You Wish to Access *

Duration Of Hire Time (Including Set-Up and Dismantling) *

Anticipated Number of Attendees *

Please provide details on how you wish to set up the room *

I confirm that I have read, understood, and agree to abide by the Terms and Conditions of room hire. *

Yes

Print the name of the Hirer *