Lingfield & Dormansland Community Centre

High Street Lingfield

Telephone: 01342 833893; fax. 01342 836774

e-mail: lingfieldcentre@tiscali.co.uk

Hiring a room

Home

Programme this week

Classes

Community events

IT Suite

Map  click back button to return

Facilities

Acknowledgements

Hiring a room

History

News

 Contact

Hiring agreement - event booking

Please print this form, complete it and post it to The Centre Manager, Lingfield & Dormansland Community Centre,

High Street, Lingfield, Surrey RH7 6AB. Please read the 'conditions of use' below.

Name (print) ……………….........…………………………….……………………………………................…..………………

Organisation (if applicable) (print) ………………………………………………………………................…….………………

Event (indicate purpose, e.g. children’s party, exhibition, class, group)………................................……………………...

Address (print) ………………………………………………………………………………...…..............………………..………

Telephone No ……….……...……..…Fax No…………..…….…….…. Email …………...............………….…….……….

Day, date and time of use     Day ……………………………….date (for single events only)………….........................

Time: from …………..……am/pm to ……..…….…am/pm = _{……..………….………..}hours

State type of event: SINGLE /MULTIPLE*  (A single event, e.g., party, meeting, is a one off hire, whereas

multiple event is an event, e.g., class, group, recurring at regular intervals over some weeks or months, in which case

please circle the dates on the calendar set out below)

* delete as applicable

Accommodation required; select facility(s) required and tick box(s):

·         Llewelyn Palmer Hall @ £12 per hour ………….…........................c

·         Orpen Lounge @ £8 per hour …………………….…........................c

·         Llewelyn Palmer Hall and Orpen Lounge @ £17.50 per hour. .. ..c

·         Allison Room @ £9 per hour …….…………………..........................c

·         Plaxton Room @ £9 per hour …….…………………........................c

·         East Room @ £7 per hour………………………………………….........c       

·         IT Room @ £7 per hour…………………………………......................c

·         IT Room @ £11 per hour with use of PCs …………………...............c

   Equipment and furniture required. See 5 below. Select item(s) and tick box(s)

•  Caretaker to set up £10 per session ………………………................c

•  Chairs indicate number ……………………………………...................c

•  Tables: large no…………….. small no…………………….....………...c

•  Flip chart @ £5 per session …………………………….….................c

•  Overhead projector and screen @ £10 per session.…….....……...c

•  Floor screens ………………………………………………...................c

I/we understand the cost for the use of the Community Centre as indicated above is £………for which I/we attach a

cheque. I/we accept the conditions of use as set out below. Please note that charges may changed from January 2009

Signature…………………………………………...................…..…….Date……………..…...............……………………

Please print and return this completed application form to the Centre Manager at Lingfield & Dormansland Community

Centre, High Street, Lingfield, Surrey RH7 6AU, together with your cheque which should be payable to ‘L&DCC’.

  For  multiple events please circle dates in calendar below noting that those dates crossed through are not available