HURSTBOURNE PRIORS VILLAGE HALL

Hiring Agreement

Please read the Conditions of Hire before completing

Details of Hirer or Responsible person acting on behalf of the hirer

Printable Version

Name*

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Address Ln 1

Address Ln 2

Address Ln 3

Postcode

Phone*

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E-mail*

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The e-mail address is invalid

Purpose of Hire

Period of Hire (From Date dd/mm/yyyy)

Time (hh:mm)

Period of Hire (To Date dd/mm/yyyy)

Time (hh:mm)

Kitchen (tick if required)

Electrical Surcharge

Agreed Hiring Fee (To be agreed in advance)

Date of Payment (dd/mm/yyyy)

Payment Method (Transfer/Visa/MasterCard/Cheque/Paypal)

Deposit

I confirm that I have read and abide by the Conditions of Hire*

This field is mandatory

Signed (for and on behalf of the hirer)

Signed (for and on behalf of the Management Committee)

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

* Indicates required fields

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BANK DETAILS

Name : Hurstbourne Priors Village Hall

Sort Code : 60-01-17

Account : 68003048

Please make cheques payable to Hurstbourne Priors Village Hall

If you do not wish to complete and SEND this form and payment online you can alternatively post this form with payment to

Bookings Secretary, 42 Hurstbourne Priors, Whitchurch, RG28 7SB.

Hurstbourne Priors Parish Council

HURSTBOURNE PRIORS VILLAGE HALL

Hiring Agreement