Hiring Millfield Arts Centre

Please print this form off, and send it to Marc Day, Millfield Arts Centre, Silver Street, N18 1PJ.

Alternatively, click here to download this document as a Microsoft Word file.

Name of Group/Society

Name of Person responsible for this booking

Position within the Group/Society

Address for Correspondence

 

 

Contact Telephone Number/s

Contact Email Address

 

Should invoice be sent to the person above? YES / NO

If No, please provide the appropriate name and address below

 

 

 

Is the Group/Society a registered charity?  YES / NO

If Yes, please provide the registered charity number –

Is the Group/Society VAT Registered?  YES / NO

If Yes, please provide the appropriate VAT number –

Does the Group/Society have appropriate Insurance cover?

Please provide details of the policies that will cover your period of hire

 

 

 

 

 

 

Title of Show

 

Dates of Hire(inclusive)

 

If your hire period is longer than one week please give details of the additional days on a separate sheet.

 

 

 

 

 

 

 

 

 

 

 

 

 

BOX OFFICE INFORMATION

Please Note: Your tickets will not be released for sale until this form has been completed and returned to Box office

 

 

 

I confirm the above booking and have read and agree to the terms and conditions indicated in the hire pack.

Signed

Name

Date

 

FOR OFFICE USE ONLY

Deposit Recieved                YES / NO                   £

Signed for receipt of deposit