ST GEORGE’S CENTRE - BOOKING FORM
Name & Organisation: (Office Use only )
Charity no if applicable:
Name and address where invoice is to be posted to:
Purchase Order Number:
Email address: Contact Name & Number:
Date of Event:
Signage for Event:
Set Up Time: Set Down Time to:
(set up/down time will be charged at half the hourly rate)
Event Time: From: To:
Room Required:
Predicted No People:
How did you hear about the St George’s Centre? Please highlight:
WebsiteInternetWord of MouthPrevious VisitOther (Please state) ______
SEATING LAYOUT REQUIREMENTS: (Please select)
Cinema Style Boardroom Style Semi circle Cabaret Style
Other (please specify) ______
REQUIREMENTS: (Please select)
PROJECTOR:YES/NOFLIPCHART: YES/NO
PA:(£80) full day YES / NOUSE OF KITCHEN: YES/NO
PLEASE SELECT: TEA/COFFEE/ BISCUITS: YES /NO ORBRING OWN
TIMES FOR REFRESHMENTS:
LUNCH MENU CHOICE: YES /NOTIME: ______
(Please selectoption)
1. Sumptuous Soup & Bread Basket (£6.00) 2. Sumptuous Soup & Sandwich (£7.75)
3. Sandwich Salver(a) (£6.00) OR (b) (£6.75) 4. Lunchtime Deli (£8.25)5. Lunchtime Special (£9.00)
6. Indoor Picnic(£10.00) 7. Premium Perfect (£12.00) 8. Afternoon Tea (£6.00)
9. Breakfast Menu (£6.00)10. Hot Breakfast Special (£6.50)PTO
OUTSIDE CATERING: YES/NO For Yes apply for Food Waiver Application Form
Food Wavier form to be completed and returned to:
2 days before event
ADDITIONAL BOOKING INFORMATION:
To the Administrator of St George’s Church
I, (name)
of (organisation)
hereby apply for the hire of rooms at St George’s Centre.
I enclose £ a 10% non refundable deposit of the Hiring fee or the full price if below £50
The full fee must be paid 10 days prior to the event.
(Cheque to be made payable to St George's Centre Ltd)
I have read and agreed to all the Conditions of Hire of St George's Church Centre
This hiring is on behalf of (organisation)
whose authority I have to bind them by signing this application on their behalf.
Signed:
Date:
* 10% Discount *
Don't forget to leave your business card at Reception
for the monthly draw to win 10% discount
off your next Room Hire
Please return this form to Maureen Lawrence:
Bookings
St George's Church & Centre
Great George Street, Leeds, LS1 3DL.
Tel: 0113 383 2140
e-mail: