Epicentral Main Space and Non-Member Reservation Form
Responsible Individual Name *
Your answer
Responsible Individual Email Address *
Your answer
Responsible Individual Phone Number *
Your answer
Organization *
Your answer
Event Title *
Your answer
Date of event *
MM
/
DD
/
YYYY
Is your event reoccurring or spans multiple days?
If event is reoccurring or spans multiple days, please list all additional dates you're interested in reserving.
Your answer
Time of event *
Time
:
End Time of event *
Time
:
Time responsible individual will arrive to begin set up of event *
Time
:
Specific details of event purpose *
Your answer
Room you would like to reserve *
Expected headcount *
Your answer
Are Epicentral Coworking members welcome to attend this event? *
Is this event open to the general public? *
If applicable, please provide links associated with marketing of event.
Eventbrite, Facebook event, etc. Please send all other marketing materials (pdf, jpg, flyers, etc) to admin@epicentral.org.
Your answer
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This form was created inside of Epicentral Coworking.