ST LUKE’S COUNTY HOUSE EVENTS BOOKING FORM

Fees:    Day:  £1 per person             Evening:  50p per person      Badges £1 each
( Non-members & out of county members need to inquire about prices)

Division/District/Unit:_____________________________________________________

Event Organiser:________________________________________________________

Address:______________________________________________________________

Tel:______________________________    e-mail:_____________________________

Approx numbers:_________ I would like to order _____Badges at £1 each

Date required:_________________ Approx. time: from________ to_______

I understand that it is my responsibility to appoint personnel who will take on the roles of first aider and fire warden for the duration of this booking.

Name of Hirer……………………………… Signature of Hirer………………………………….

Data Collection statement:- Information you provide on this form enables us to manage bookings. It will be kept for 12 months, then securely destroyed. It will be accessible to anyone who has a legitimate role in the management of St Luke's County House.

Please return the completed form with non-refundable deposit - £25 for a day, £5 for evening
        (Cheques payable to Lincs North Guide Association – County House) and a s.a.e. To:
                         Mrs M. Nelson, 3E Butt Lane, Laceby, N.E Lincs. DN37 7BB

FORM MUST BE RETURNED WITHIN 3 WEEKS OF PROVISIONAL BOOKING, WITH A NON RETURNABLE DEPOSIT. ALL FEES TO BE PAID IN FULL ONE WEEK BEFORE EVENT.

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ST LUKE’S COUNTY HOUSE BOOKING CONFIRMATION

Division/District/Unit:__________________________________________

Date(s) booked:______________________________________________

I acknowledge the receipt of your deposit £…….. and confirm your booking of the St Luke’s
County House on the above dates.

 Signed:___________________________(Booking Secretary)