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Epicentral Main Space and Non-Member Reservation Form
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* Indicates required question
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?
Yes
No
Clear selection
If event is reoccurring or spans multiple days, please list all additional dates you're interested in reserving.
Your answer
Time of event
*
Time
:
AM
PM
End Time of event
*
Time
:
AM
PM
Time responsible individual will arrive to begin set up of event
*
Time
:
AM
PM
Specific details of event purpose
*
Your answer
Room you would like to reserve
*
Choose
Main Space (Main Level; 75-100 person capacity; available evenings & weekends only)
Thomas MacLaren (Main Level; 6 person capacity)
Fannie Mae Duncan (Main Level; 6 person capacity)
Nikola Tesla (Second Floor; 8 person capacity)
Lon Chaney (Basement; 10 person capacity)
Chipeta, White Singing Bird (Basement; 15 person capacity)
Expected headcount
*
Your answer
Are Epicentral Coworking members welcome to attend this event?
*
Yes
No
Is this event open to the general public?
*
Yes
No
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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