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Accommodation Form

If You Have Sepcific requirements that Ealing CLC will need to prepare for, you need to return the form at least 5 working days prior to the date of your course and 10 days if you need to bring your own equipment or software.
(* indicates mandatory field)
Organisation *
Group Leader* (e.g. Chairperson)
Person Booking the Room
(if different from above)
  
 
Email address*
Address
Post Code
Telephone No
Fax No.
Date/s and Time Required:
     dd/mm/yyyy  dd/mm/yyyy
Room 1  Date From: Date To:
Room 2  Date From: Date To:
Room 3  Date From: Date To:
Room 4  Date From: Date To:
 
If you want to book more than 4 dates please speak with the administrator first.

Hot drinks may be purchased directly from the vending machine, or obtained through the 'refreshments token' system arranged by the CLC. Information regarding lunch arrangements is available on request
 
Please provide information on refreshment token system 
 
More Info: 
 
Please provide information on lunch arrangement             
 
More Info: 
 
Please give a description of what the room will be used for (for example, Board Meeting of A.N.Other Co/teaching Yr 9 class digital imaging)

How many people will be attending?   
How many computers do you need ?   PCs:    Macs:
From the range of software available at eCLC which applications will you require
Details of available software, hardware and equipment are in the eCLC Handbook
What additional equipment is needed?
Will you bring any of your own hardware/ software/ equipment with you? Please give as much information as possible
Unfortunately we may be unable to permit the use of some hardware/ software/ equipment and we may need to ask you to bring it in for a test first
 
In completing this form you are agreeing to abide by the rules and code of conduct as laid out in the Handbook and User Agreement. You therefore agree to be responsible for the management of your group and any loss or damages which may occur
 
We will, where possible, confirm in writing your booking and any applicable fees as outlined in the charging policy. In the event of cancellation please see our charging policy
 
Full Name*                             Date*