Room Booking Form

Swansea Carers Centre

Room Booking Form

Name of Organisation
Organisation Type
(Please delete as appropriate) / Charity / Business / Company / Government or LA / Education / Religious or Faith Group / Youth Group / Other … (please state)
Charity number
(if appropriate)
Website
Address
Post Code
Telephone
Name and Job Title of person making the booking
Mobile number
Email address
Name, Job Title and mobile number of person responsible at the event
Event Title
Number of participants (suggested (maximum 12) / Age Group
Children / Adults / Family
Day /date/ time required
Which room(s) needed (Please delete as appropriate) / Main room (The Hub - £25 per hour)
Middle meeting room (The Mingle - £10 per hour)
Rear Counselling room (The Cwtch - £10 per hour)
20% discount on all rooms for charities or bookings of 6+ hours
Hire charge / Hourly rate x number of hours less discount if appropriate =
Payment method
(Please delete and provide details as appropriate) / Cheque made out to Swansea Carers Centre
Invoice by email to the person booking
Invoice by email to ………………………………………………………………
Tea, coffee etc / An electric urn, electric kettle, tea, coffee, sugar, cups and spoons are provided at no extra charge, but please bring your own milk.
Equipment needed
(Delete as appropriate) / Flip chart / Projector / Laptop / Screen / Other (Please specify)
Access / Ground floor access but not suitable for some wheelchair users

How did you hear about us?

Website /  / Word of Mouth /  / Social Media  / Other / 

If Other, please give more details:

Date………………………………………

Please return your booking form to or send to:

Nicky Stonelake, Swansea Carers Centre, 104 Mansel St, Swansea, SA1 5UE.

SCC USE ONLY

Staff member accepting booking
Rooms Booked
Days & Dates
Time(s) / From: / To:
Additional preparation notes
Rate £ per hour / Total Charge for booking. / £ / Method
Amount (£) Received
(deposit / paid in full) / Payment Received by
Payment Notes:
Additional Notes:

Room Booking form Jan 15