The Silver Street Centre

Wiveliscombe

The Bright Spot between the Brendon and Blackdown hills

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Booking Form

Please complete your application, giving all the relevant information, and then indicate that you have read and agree to be bound by ‘The Conditions of Hire and Use’ before submitting the form.

Name of Applicant
Name of Organisation
Address and Postcode
Telephone
Email Address
Room(s) Required
Tick As Appropriate
Duration
 Hour, Half-day, Day
Main Hall
Room One
Room Two
Kitchen
Storage
This is only available to regular hirers and at a charge
Date(s) of Hire
Date Commencing
Date Ending
Time of Hire
 Allow sufficient time to set up
 and tidy up afterwards
Entry Time
Exit Time
Purpose
 Describe use or event
Equipment and Facilities
Number of tables and chairs required
 Tables              Chairs
List any other equipment you require
 [Lectern, PA, Projection]
List any equipment you intend bringing into the Silver Street Centre
Details any catering you require:
 Tea/Coffee Freezer / Food Storage
Insurance
Please Give Details
Do you have Public Liability Insurance?
 This must cover all activities that you propose to undertake in the premises.
Do you have insurance for the materials and equipment that you intend to bring or use at the premises?
Please detail below any other relevant information
 or special requirements


AGREEMENT
I am aware that before my booking can be Accepted and Confirmed that I am required to read and sign ‘the Conditions of Hire’ to indicate my willingness to accept the said document.

 Date
Please now type what you see below and then press
 the submit button to send the booking form to the Silver Street Centre


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