PARTIES		CLAIMANT		RESPONDENT
Names of parties:*
Legal Representatives:*
Address:
Contact:*
On site Contact:
Telephone:*
Email:
Reference:
Number likely to attend from each side (incl. witnesses):
Estimated size of bundle:

NAME OF ARBITRATOR(S) / MEDIATOR(S):*
1:	2:	3:

ROOM REQUIREMENTS   Please indicate number of rooms required in boxes
DATES*
from: (dd/mm/yy) inclusive		to: (dd/mm/yy) inclusive
ARBITRATION ROOM* up to 100 People : £995 p/day up to 50 People : £845 p/day   up to 30 People : £745 p/day   up to 20 People : £575 p/day   up to 15 People : £495 p/day		MEDIATION AND OTHER ROOMS* Extra Large Mediation Room : £575 p/day Extra Large Retiring room £325 p/day Large Retiring Room: £215 p/day Large Mediation Room: £395 p/day Standard Mediation Room : £295 p/day Retiring room: £165 p/day
Extra Charges: after 20:00 £75.00 per hour, after 00:00 £150.00 per hour. Part hours will be rounded up to the nearest full hour Prices are exclusive of VAT

CATERING ARRANGEMENTS (please tick box)
		CLAIMANTS		RESPONDENTS		TRIBUNAL
Separately in their own retiring room
In communal dining room
No lunch

COURT REPORTING AND OTHER SERVICES Please discuss Court Reporting requirements and other support services seperately with the Centre Manager Invoices for: • claimant's representatives: • respondant's representatives: • 50:50: • Other: If other, please specify: Do you require information about local hotels? Booking made by:* of (attorneys or party): Telephone: Fax: email:* Date: