Room Booking Request

Contact Details*
First Last
Contact name and details of the person requesting the room booking.
Organisation/Company
Contact Number*
Email*

Required to confirm booking.
Booking Type*
Event Name
If applicable
Brief Description of Activity*
Date Room Required*
Date Format: DD slash MM slash YYYY
Beginning Time*

: HH

MM
Finish Time*

: HH

MM
Number of Attendees*
Please indicate how many people will be in attendance. If you are unsure please indicate anticipated numbers.
Room Requirements*
- Room Only
- COW - Computer on Wheels (Screen)
- WIFI Access
- HDMI
- Other
Please indicate specific requirements.
Other Requirements
Please list other requirements
Special Requirements
- Self Service Water/Tea/Coffee
- Craft Tea/coffee - (charges will apply)
- Catering - (charges will apply)
Room Layout*
Please select how you would like the room set out.
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