Name of Organisation (required)

Registered Charity No. (required)

Registered Company (required)

Address of Organisation (or Chair of Trustees or other responsible person - please state) (required)

Telephone (required)

Fax

Website

Email (required)

Name of contact person (required)

Address and contact details if different from above

Telephone

Fax

Email

Main purpose of organisation

Purpose and type of meeting/activity you plan to hold at Carrs Lane Church Centre

Number of people attending

Will the meeting be open to the public
YesNo

Will children be attending?
YesNo

If Yes please upload a copy of your Child Protection Policy.

How did you hear about Carrs Lane Conference Centre?
RecommendationYellChurch Centre WebsiteYellow pages directoryOther

Reference contacts (These MUST NOT be members of the organisation applying). Please supply two referrees from a professional body or organisation who have had dealings with you and can confirm your organisation's status (eg. Bank Manager, Senior Minister of another Church, Solicitor etc...)

Referee 1

Contact Name

Position

Organisation

Address

Telephone

Email

Referee 2

Contact Name

Position

Organisation

Address

Telephone

Email

Please attach a copy of your organisation's constitution:



Please tick to confirm you have read and agree to the Terms and Conditions Ok