Organisation (if applicable):

Address:

Town/City:

Postcode:

Telephone: Fax:

(Landline Required: WE ARE UNABLE TO PROCESS REQUESTS BY MOBILE ONLY)

Type of Event:

Meeting/lecture Classical music concert Concert non-classical Reception/social/cabaret Workshop/class Rehearsal Filming/recording Press conference Festival/fair Exams Other (please specify) Please select Other

Date(s) requested:

first choice

second choice

Times (using 24 hour clock, e.g. if 6 o'clock in the evening, insert 1800)

Set-up from

Event starts

Event ends

Take-out complete by

Number of people expected

Seating Style?

Theatre style rows of chairs Board style chairs around tables Informal circle of chairs Clear space Cabaret style tables & chairs Standing reception Other Please select If "Other", please specify:

Will the event be open to the public?

Yes No Please select

Will the event have entertainment e.g. music, singing, dancing, performance?

Yes No Please select

Will your event have food or drink?

No catering We would like to bring our own catering We would like advice on catering Please select

Would you like to serve alcoholic drinks?

Yes No Please select (Note: A licence will be required)

Do have any other requirements? e.g , audio-visual equipment, piano, break-out rooms, etc

Your website (if you have one)

How did you learn of Conway Hall?

Walked by Word of mouth e.g. friend, colleague Attended an event Internet search Telephone directory e.g. yellow pages Professional directory Press review or other media Other Please select If "Other", please specify: