Title of Event

Organiser

Address for invoice

Phone number Fax number E-mail

Type of Event:

Please Tick: Add additional Information where Appropriate

Music Concert - Rock/Pop/Jazz/Classical/Folk

Fair - Records/Books/Bric a Brac/Horticultural

Recreation - Line Dancing

Party - Wedding/Anniversary/Birthday

Other

Day/s Of Event

Date/s of Event

Office Use Only

Time/s Of Event

From:

To:

Hours:

Rate: £

Set Up and Staging times

From:

To:

Hours:

Rate: £

Tear Down and Clean Up

From:

To:

Hours:

Rate: £

Serial Lets - Please provide Dates

Serial Lets - Please provide Dates

Disability access required?

 Yes  No

Start time Finish time

Signature * Date

Name in capitals

EVENT BOOKING DETAILS

Please use this form to give us your requirements for your event.

Venue: Dalry Town hall

Seating plan Classroom  U-shape  Theatre  Cabaret 

(please tick one) Boardroom  Exams  Plan enclosed 

(See seating plans page)

Additional requirements

Audio-visual (please tick - if you intend to use any or all of the following. The supply of this equipment is the organiser's responsibility. All electrical equipment must have an up-to-date PAT Test Certificate available for inspection - please specify)

Overhead projector  35mm slide projector and screen  Stage lighting equipment 

VHS video machine  Flipchart stand/pad/pens  Smoke machine/dry ice 

Radio Microphones  Data projector  Sound equipment 

Additional requirements:

Catering: Please supply the name and contact details of your caterer

Name

Address

Telephone: Email:

Estimated number:

Arrival - coffee/tea/biscuits  time

Mid-morning - coffee/tea/biscuit s  time

Mid-afternoon - coffee/tea/biscuit s  time

Lunch  time

Menu:

Drinks:

Evening reception/dinner  time

Menu:

Drinks:

Comments:

Where did you hear about this venue?