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The Jurgens Centre
 
 
BOOKING FORM
 
 
 
91 Harvest Road
 
 
 
 
 
 
 
 
 
 
Englefield Green, Egham
 
 
Invoice No:
 
 
 
 
SURREY, TW20 0QR
 
 
Dated:
 
 
 
 
Email: thejurgenscentre@yahoo.co.uk
 
 
 
 
 
 
 
 
Website: www.thejurgenscentre.co.uk
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Name of Hirer
 
 
 
Club / Organisation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Address:
 
 
 
Daytime Telephone No:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Email address:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Postcode:
 
 
 
Time From:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DATE REQUIRED
 
 
Time To:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Type of Use
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Name of Caterers
 
 
Bar Required
 
             YES    /    NO
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REQUIREMENT
 
CHARGES
 
BOOKING CODE
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Wedding Day Package
£495.00
 
55
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CHARGE per Hour
 
 
 
HOURS
CHARGE
 
 
 
Complete Hall
 
£20.00
 
2
 
 
 
 
 
 
Small Hall
 
£16.50
 
4
 
 
 
 
 
 
Meeting Room 1
 
£14.00
 
6
 
 
 
 
 
 
Meeting Room 2
 
£14.00
 
7
 
 
 
 
 
 
Conference Room
 
£17.50
 
5
 
 
 
 
 
 
Kitchen Standard Use
 
£20 per session
 
8
 
 
 
 
 
 
Kitchen Full Use
 
£50 per session
 
9
 
 
 
 
 
 
Bar
 
£50.00
 
10
 
 
 
 
 
 
Cleaners
 
£50.00
 
 
 
 
 
 
 
 
 
 
 
 
Sub Total
 
 
 £
 
 
 
 
 
 
Public Liability Insurance
@12%
 £
 
 
 
 
 
 
 
TOTAL DUE
 
 
 £
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Returnable Damage / Loss deposit for Wedding and Large Parties where applicable
£100.00
 
 
 
This deposit must be paid by a separate transaction at the time of your booking
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hirer's Signature
 
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . . . . . . . .
 
 
 
Booking Acceptance Signature . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . . . . . . . .
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Doc Ref: May '10

 

 
The Jurgens Centre : 91 Harvest Road : Englefield Green : Egham : Surrey : TW20 0QR     Tel.01784 477620

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