Company details
Company contact Postcode
Company name Tel no
Address Fax no
Email
Facility requirementsRequirements
Date of event
Moderator name
No of clients
No of groups
Flipchart & Pens
TV and VHS/DVD playback
Clipboards
 Group 1Group 2Group 3
Times
Duration
No of respondents
Optional services (charged) Tea, coffee, orange juice and biscuits are provided for clients and respondents, within the hiring cost.
RefreshmentsRespondentsClients
 Group 1Group 2Group 3 
FoodMorning pastries
 Afternoon cream tea
 Simple sandwiches
 Luxury sandwiches
 Finger buffet
 Cold Fork buffet
 Take-away
 No of vegetarians
DrinksSoft drinks (e.g. carbonated)
 Mineral water
 Wine
 Lager
Soft drinks, mineral water, wine and lager are always available for clients and are charged as taken.
if you do not wish alcoholic beverages to be available please tick here :
Client transport
Taxi(s)Collection pointNo of peopleTime
 Collection pointNo of peopleTime
 Collection pointNo of peopleTime
Special Instructions
Respondent recruitment required : Please call Betty Tucker to discuss
Terms and conditions     Please confirm that you have read our terms and conditions
*All prices are subject to VAT
*Cancellation ChargesSame day100%
 2-3 days80%
 4-7 days50%
 8+ days20%
*Payment is 28 days from the invoice date
(You will be invoiced to the address given unless instructed otherwise)
*The moderator must advise all respondents that the group will be audio/video recorded in accordance with the MRS Code of Conduct