Please read our conditions of hire before completing this form.
* indicates required field.
* Day(s) / Date(s):
Facilities Required:
Times (to include all setting up and taking down time): to
Type of Function:
Equipment Required, Setup Specifications (if appropriate):
Are you a registered user? Yes No
Do you require a bar? Yes No
Do you require catering? Yes No
Anticipated Number?
Is it a private function? Yes No
If 'no', are tickets available to the general public? Yes No
If 'yes', contact for tickets?
Does your organisation have general liability insurance? (see clause 12 in the Conditions of Hire) Yes No
Name of Nominated Representative (See clause 8 - conditions of hire):
Financial Limit (Facility Hire Charges):
Seating Style Required: Theatre In the Round Boardroom Cabaret Other:
Number of Tables:
Number of Chairs per Table:
Other Arrangements: Stage TV Video Slide Projector Overhead Projector Screen (for use with slide/overhead projectors) Flip Chart Lectern Other (please specify):
Catering arrangements have been communicated to Catering Department at Bishop Auckland Town Hall: Yes No
* Full name:
Organisation:
* Address:
* Postcode:
Email:
Home Telephone Number:
* Work Telephone Number:
Conditions of hire
* I have read and agree to abide by the conditions of hire Yes No
