Britannia Panopticon hire request form
Thank you for showing interest in hiring the Britannia Panopticon Music Hall. As it's an historic building, please read the rules and regulations before filling in this form. Once completed, our team will consider your application and get back to you. For wedding hires or other questions email: info@britanniapanopticon.org
Email address *
Name *
Your answer
Organisation Name (if applicable)
Your answer
Telephone
Your answer
Description of event *
Your answer
Date of requested hire *
MM
/
DD
/
YYYY
Time of requested hire *
Will you require tech? *
If answered yes to previous question, what tech will you be needing?
Your answer
If any other details of your event, please fill in
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.