Hire Requirement Form

* Title:
* First Name:
* Last Name:
* Address 1 (inc. name of premises):
* Address 2:
* City/Town:
* County:
* Postcode (please confirm full code):
* Contact No. (Work):
Contact No. Home (if appropriate):
* Email Address:
Fax No:
Other special requirements you might have (e.g. directions, contact, delivery, collection, etc.):
Event Details (if different)
Event Contact Name:
Event Address 1 (inc. name of premises):
Event Address 2:
Event City/Town:
Event Post Code (please confirm full code):
Event Telephone No. or Email Address:
Hire Facilitation Equipment
* From (day/month/year):
* To (day/month/year):
* Hire Duration:
Hire Pinboards (Folding, Standard size):
Hire Kit Cases:
Hire Graphic Facilitation Boards	Right End
	Left End
	Centre
Hire Paper Roll Dispensers:
Hire Professional Facilitator Support
From (day/month/year):
To (day/month/year):
Facilitator Support:
Buy Facilitation Accessories
Pinpoint Facilitation Paper (number of sheets)	Beige Paper @ 65p/sheet
	White Paper @ 65p/sheet
Workshop Packs	1/15 (1-day) @ £95.00
	3/15 (3-day) @ £125.00
3M Spray Mount	£11.95 each
Graphic Pastel Chalks (Box of 8 assorted colours)	£9.55 per box

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