Application for a licensed bar to be provided at an event
at Hardington Mandeville Village Hall

I hereby apply to the Trustees of the Hardington Mandeville Village Hall to authorise the sale of alcohol by the following person (s) at the hall on the following date (s), during the following hours and in the following location (s):

Date(s): ...................................................................................................

Time: .......................................................................................................

Description of event: ...............................................................................

Persons to be authorised to sell alcohol in accordance with the Licensing Act 2003:

...............................................................................................................

...............................................................................................................

...............................................................................................................

Location:Main Hall
Kitchen
Entrance Hall
Exterior
Signature: ............................................................................................... Contact address: .............................................................................................

Name: ....................................................................................................

Phone:      ............................................................................................

 

The completed form should be sent to Mr Andrew Middleton, The Designated Alcohol Premises Supervisor, The Old Roost, Barry Lane, Hardington Mandeville, Yeovil, BA22 9PS (tel 07941 323753) for approval.


I hereby authorise the persons named above to sell alcohol at the event described above, on the date(s), at the time(s) and in the location(s) specified above (delete as appropriate).

Signed by the Designated Premises Supervisor appointed by The Trustees of the Village Hall:

Name: ....................................................................................................
 

Signature: ..............................................................................................