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Application for hire of Function Room


Pemberton Conservative Club


Application for Hire of The Silcock Suite (Function Room)




Name of Applicant ........................................................................

Address                         ........................................................................

                                        ........................................................................

                                        ........................................................................

Telephone Number ......................................................................


Type of Event (Wedding, Birthday, etc.) ..........................................................................


Date of Event     ...................................                                     Afternoon/Evening (delete as applicable)

Approximate Number of Guests     Age 18+                            Age under 18


Name of Disco              ....................................................................



I wish to apply for the use of the function room as detailed above. 

I understand that, if approved, I will become a member of the Club until December, when I will be able to renew my membership if I wish to do so/I am already a member of the Club.  (delete as applicable)


Signature of Applicant ...............................................................                


Date. ........................

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