Hire Agreement and Payment Form

Only use this form if you have received a confirmation email from us with a Provisional Booking Confirmation and you have made a payment

Name of Booking *

Email address *

Phone Number *

Date of Hire *

Payment should be sent to:

Borstal Village Hall
Sort Code: 30.97.12
Account No: 00027111

Payment *

I have paid the deposit and will pay the remaining amount 30 days prior to booking date
I have paid the full amount

Do you Agree to Conditions of Hire? *

YES

Date Terms Agreed *

Please provide the bank account details that you would like the deposit return to

Account Name *

Sort Code *

Account Number *

Any other information or message