Test Booking Form – Do Not Use!

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Name *

First

Last

Email *

Email

Confirm Email

Contact Number *

Purpose of Hiring *

Event Date *

Alcohol Consumed *

• Yes
• No

Type of Music *

• None
• Live
• Recorded
• Disco

Numbers likely to attend

Selected Value: 1

Total Hire Charge (See Price List Link Below) *

Confirm Total Hall Charge (See Price List Link Below) *

50% Deposit Paid (To be Paid IMMEDIATELY, See Price List and Ts & Cs Links Below) *

• Yes

£100 Damage Deposit Paid (See Booking Ts & Cs Link Below) *

• Yes
• To be Paid

Your Bank Account Details: Name, Account Number, Sort Code (Used For For Damage Deposit Refund if no Damage is Reported or Found) *

Bar Required *

• Yes
• No

If Pay Bar is Required, £30 Fee to be Added to Hire Fee (See Ts & Cs Link Below) *

• Yes
• To be Paid
• Not Applicable

I Hereby Agree to the to the Following: *

• Breadgar Village Hall Terms and Conditions (See Link Below)

Questions or Comments

Form Submitted Date *

Submit

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