Book the ECA

1. Organisation

2. Named representative

3. Postion in organisation (if applicable)

4. Telephone (Day)

5. Telephone (Evening)

6. E-Mail

7. Address for correspondence

8. EXACT PURPOSE OF HIRE

COMPLETE FOR A SINGLE BOOKING

9. Accommodation Required

10. Day

11. Date

12. Time (Start)

13. Time (End)

14. Cost (if known)

COMPLETE FOR A REGULAR BOOKING

15. Accommodation reqired

16. Day of week

17. Dates(from - to)

18. Time (Start)

19. Time (End)

20. Cost per Session (if known)

DECLARATION By submitting this formI agree to abide by the E.C.A. Booking Conditions (a full copy is available for inspection at the Centre) and that I am aged 18 years or over. PLEASE NOTE THAT BOOKINGS ARE PROVISIONAL UNTIL CONFIRMED BY THE BOOKINGS SECRETARY.