Contact Name:

On Behalf Of:

Contact Address:

Telephone:

Alt Telephone:

Email Address:

Date Required:

Purpose of Hire:

Start Time:

Finish Time:

Please use this space to provide us with any other information that is relevant to your function:

Do you require the hire of the kitchen:

Yes

No

Do you require the hire of the bar:

Yes

No

Are you a member of Yateley Social Club

No

Yes