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The Belfry, Wishaw, Sutton Coldfield, West Midlands, B76 9PR United Kingdom
T +44 (0) 1675 470301 F +44 (0) 1675 470256
E enquiries@thebelfry.com

Company/Agency Name :
Address :
Contact Name :
Telephone :
Email :
Proposed event dates :
Are these dates flexible? :	Yes No
No. of Delegates :
Proposed layout of main room :	view room layouts
Front/Back projection required? :	Front Back
Syndicate room requirements :
Number of rooms
Number of delegates per room
Is any setup space/time required? :	Yes No
What is required? :
When is setup required? :
Comments :
Timings of event: :	From:	To:
Accommodation required? :	Yes No
Number of rooms
Number of single occupancy
Number of shared occupancy
Date accommodation required
Bedroom type
Purpose of event :
Call back required? :	Yes No
Any additional information? :