Y/N* # £25.00 per event Projector and Screen Y/N* # £25.00 per event Spotlights and lighting rig PPL Levy for Live/recorded £5.00 per event Y/N* Laying out of chairs: £10.00 per 50 chairs or part thereof Y/N* Setting up of tables: no charge for 5 tables then £5.00 Y/N* per 10 tables or part thereof Storage fees for regular users in the hall: £5.00 per week Y/N* Heating: £2.50 per hour Y/N* Caretaking/Cleaning/Call out fees £15.00 per hour Charged if used Discounts - Please note that only one eligible discount can be used per booking Residents discount of 10% (proof of address required) Y/N* Regular user discount of 10% (more than 5 bookings in 12 month period) Y/N* Names of stewards (please see conditions of hire note 5 for requirements) Name 1: Name 2: Name 3: Name 4: IT IS ESSENTIAL YOU READ THE FOLLOWING STATEMENTS BEFORE SIGNING I / We acknowledge that we have read the Conditions of Hire and Fire Instructions (at the end of this booking form and terms of hire), and have read and understand the requirements detailed. I / We hereby make application for the use of the Hall, Totnes, for the purpose and on the date(s) as set out above. I / We undertake to pay the Council’s charges due and to by the Conditions of Hire as may be in force at the time. I / We understand that the account for the balance of the hire charge (including any loss, damage or clear up costs incurred by the Council) will be advised following the hiring. I / We have attached a copy of our public liability insurance. (Please delete if not applicable) This event is subject to a Temporary Event Notice (Please see Conditions of Hire Notes 3 & 4) and I / we have made application to the District Council and enclose a copy of that application. (Please delete if not applicable) I/We are over 18 years of age. Date: Signed:
Projector and Screen # £25.00 per event Y/N* Spotlights and lighting rig # £25.00 per event Y/N* PPL Levy for Live/recorded £5.00 per event Y/N* Laying out of chairs: £10.00 per 50 chairs or part thereof Y/N* Setting up of tables: no charge for 5 tables then £5.00 per 10 tables or part thereof Y/N* Storage fees for regular users in the hall: £5.00 per week Y/N* Heating: £2.50 per hour Y/N* Caretaking/Cleaning/Call out fees £15.00 per hour Charged if used Discounts - Please note that only one eligible discount can be used per booking Residents discount of 10% (proof of address required) Regular user discount of 10% (more than 5 bookings in 12 month period) Y/N* Y/N* Names of stewards (please see conditions of hire note 5 for requirements) Name 1: Name 2: Name 3: Name 4: IT IS ESSENTIAL YOU READ THE FOLLOWING STATEMENTS BEFORE SIGNING I / We acknowledge that we have read the Conditions of Hire and Fire Instructions (at the end of this booking form and terms of hire), and have read and understand the requirements detailed. I / We hereby make application for the use of the Hall, Totnes, for the purpose and on the date(s) as set out above. I / We undertake to pay the Council’s charges due and to by the Conditions of Hire as may be in force at the time. I / We understand that the account for the balance of the hire charge (including any loss, damage or clear up costs incurred by the Council) will be advised following the hiring. I / We have attached a copy of our public liability insurance. (Please delete if not applicable) This event is subject to a Temporary Event Notice (Please see Conditions of Hire Notes 3 & 4) and I / we have made application to the District Council and enclose a copy of that application. (Please delete if not applicable) I/We are over 18 years of age. Date: Signed:
Civic%20Hall%20Booking%20Form.docx