Name:*
Address:*
PostCode:*
Phone No.:*
Email:*
Booking Type:*
Business
Community Organisation
Private Hire
Charity
Date:*
Start Time:*
End Time:*
Purpose Of Hire:*
Number Of People:*
Other Information:
I understand that alcohol is not permitted on the premises:*
Yes
I give permision for my data to be stored on the Crofts End Church securedatabase in accordance with the Data protection Policy:*
Yes
Please enter the verification number on the right:*
 one four six three two
* Required Fields