Request to Book a Facility at St Joseph's, Epsom   ref

When complete, please print this booking form and return it by post to Howard Park, 37 Ashley Road, Epsom, KT18 5BD. Confirmation of booking will be provided if you attach a stamped, addressed envelope. Nature of Event:

Please check facility required Christall Hall Chatterton Meeting Room Westlake Room Kitchen - Snack Kitchen - Mail Meal

Day and Date of Event   Time of Event   Times Rooms/s Required   Total Number of Hours
For different days, you may need to use separate forms       From To  
     

Name of Person Booking   Full Address of Person Booking   Organisation (if any)
   

Telephone Number of Person Booking   Type of Let   Cost
  Parish Team Let: 10% Let: 50% Let: Full Price Let:  
   
I attach my cheque for £200 made payable to "St Joseph's Church" as a booking deposit. I understand that in the event of late cancellation, over running the event, failure to leave the premises clean or causing damage or breakage or other complaint I may forfeit all or part of this amount. In any other event the cheque will be destroyed one week after the event or returned to me if I attach a stamped addressed envelop marked "returned papers".

I undertake to pay the full amount three weeks before the event.

Signature of Person Booking _________________________________________________
Official Use
Date Initial Booking Received box Date Booking Confirmed box Deposit Returned Destroyed box
Deposit Received box Amount of Fee Received box Amount of Deposit Returned box
Comments large box Date box
Confirmation of Booking - St Joseph's Church, Epsom

I confirm that (name) _________________________________________________ has a booking

for (rooms) ______________________________ on (day) ______ (date)__________ between _____ and _______


Signature of Lettings Manager ________________________________
Howard Park, 37 Ashley Road, Epsom 722352