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UNIVERSITY OF DUBLIN – TRINITY COLLEGE

SCHOOL OF MEDICINE

TRINITY CENTRE FACILITIES at ST JAMES’S HOSPITAL

PLEASE NOTE THAT PRIORITY IS GIVEN TO ALLOCATION OF ROOMS FOR TEACHING PURPOSES

BOOKING FORM

1 Please tick the facilities required: Room OHP Slides Video

Robert Smith Lecture Theatre (250 seats)

William Montgomery Lecture Room (100 seats)

James McNeven Semimar Room (50 seats)

Dorothy Price Seminar Room (40 seats)

William Hayes Seminar Room (30 seats)

Other (please specify)

Please note that Audio Visual personnel are not on site outside normal office

hours. Should you wish to purchase Audio Visual support for your event

please advise at time of booking. Yes No

2 Please specify the date(s) required:

Day: ______

Date: ______

Time:______

3 Food and Drink may be served only in the staff/student common room or in the

lower concourse area. The serving of food or drink is strictly the responsibility of

the organisers.

Do you plan to have a reception? Yes /No

If yes, where and for how many? ______

4 Who is paying for the function? ______

TCD Departmental Cost Code: (if applicable) ______

5. Do you have public liability insurance? Yes /No

Name of Insurer: ______

Policy No: ______

Level of Indemnity: ______

6 Please give contact details:

Name: ______

Address: ______

Tel No: ______Fax No: ______E.Mail: ______

7 Rates:

(a)  Attendant overtime must be charged outside normal opening hours, which are:

October – June 8.00a.m. – 10.00p.m. Monday – Friday

8.30a.m. – 1.30p.m. Saturday

July – September 8.30a.m. – 6.00p.m. Monday – Friday

(b) A fee for the facilities may be charged at the following rates per room per day or

part thereof.

Tick applicable Lecture Theatre Seminar Rooms

Rate:

€ €

Education Rate 120 45

Professional Rate 150 50

Commercial Rate 300 100

College users and Trinity teaching hospital users may be exempt from the charges in 6(b), provided they have no outside sponsorship. Please address any queries to Ms. Mary Keating (Tel. 8963552, E.Mail: ().

Signed by Attendant (SJH)

Signed: ______

Date: ______

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Checked by Medical School Office

______

Mary F. Keating Date

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Please submit this form to Mary Keating, Room 1.08, Old Stone Building, Trinity Centre for Health Sciences, St. James’s Hospital, Dublin 8. She will confirm whether the room(s) is/are available. The form will be sent to Medical School Office for approval. Confirmation will issue on a green booking receipt, which will detail the charges due (if applicable). Payment should be sent, as soon as possible for the function, to Ms. M. McGetrick, Enquiries Office, Trinity College, Dublin 2. Cheques should be made payable to “Trinity College No. 1 Account”. PLEASE ATTACH COPY OF INVOICE WITH PAYMENT.