Event Form

 Please complete this form with details of your event,
giving at least two weeks notice
Organisation:
Category: 
Nature of event:
Venue:
Venue address:
Post town:
County:
Postcode:
Nearest train station:
Bus routes:
Start date:
End date:
Day / Date Text
ie: On Monday 1st January, Monday 1st to Friday 4th January, 
Every Monday throughout January.
Times:
Cost / Prices:
Cause, if proceeds going to charity: 
Contact details to appear on listings / advert:
Contact name: 
Telephone number:
Email address:
Website:
Additional details:
For Office Use (Not For Publishing)
Are you a registered charity, or raising funds for a registered charity:
Contact name for queries (if different from above):        
Telephone number for queries (if different from above):
Email address for queries (if different from above):       
Would you like Epsom Hospital Radio to contact you about providing music or PA services for your event?