THE EAST OF ENGLAND MULTI-FAITH CENTRE
ROOM BOOKING FORM

YOUR PERSONAL DETAILS (optional information can be useful in emergency situations!)

1. Your Name (essential)

2. How would you prefer to be contacted?

3. Your home landline telephone (optional)

4. Your mobile telephone (optional)

5. Your personal email (optional)

6. YOUR GROUP'S DETAILS

7. Type of Group

7a. Details: other type of group

8. Name of Group

9. Your position in Group

10a. Contact Address - Building Name or Number

10b. Street

10c. Village / District

10d. Town

10e. County

10f. Post Code

10g. Telephone (day time)

10h. Your professional email (essential)

YOUR BOOKING DETAILS

11. Type of Booking

12. Which day of the week do you want to meet?

13. What time of day do you wish to meet?

14. Which Date do you wish to book?

15. At what time do you plan to arrive?

16. At what time do you plan to depart?

17. How many people are you expecting to come?

18. Who will be 'your responsible person'?

19. Do you have any specific requirements?

YOUR TREASURER'S DETAILS
If your booking is accepted, your group will be invoice on a quarterly basis for the Service Charge

20. Who should we Invoice for the Service Charge?

21. Office held by person to be invoiced?

22. Office held by person to be invoiced?

23. Name of Officer

24. Officer's Address - Building Name or Number

25. Street

26. Village / District

27. Town

28. County

29. Post Code

30. Telephone (day time)

31. Officer's email

APPLICATION VALIDATION

32. Name of Applicant

32. Date of Application

Check your entries and when you are sure they are correct
Please click on 'Submit Form'