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Booking Request Form

"*" indicates required fields

Name*

First Last

Address*

Address 1 City Postcode

Phone*

Email*

Proposed date of hire*

What time would you like the hall or meeting room from?*

How many hours do you require?*

Please state your reason for hire*

Approximate number of people?*

Please state if you have any specific requirements?

File upload

You can support your Booking Request by uploading any additional information.

Accepted file types: jpg, pdf, gif, png, doc, docx, Max. file size: 256 MB.

Agreement*

I/we agree to the enclosed Terms & Conditions

Proud to serve the community of Southend-on-Sea for over 20 years.

St Edmund's Close Southend-on-Sea, Essex SS2 4AS

07884 445259

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