Application form for new customers wanting to hire rooms

Please fill out the online form below, or download and print the attachment (PDF format) and return to us at:
Carrs Lane Conference Centre,
Carrs Lane,
Birmingham
B4 7SX

View PDF form

Online form

    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?

    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