WBI Facilities Request Form
Please fill out this form to request using our main office space for an upcoming event. Scheduling is on a first come first serve basis.

Rental Rate: $20/hr

*PLEASE EMAIL OUR ADMINISTRATIVE COORDINATOR WITH AN QUESTIONS, COMMENTS, OR CONCERNS THAT YOU MAY HAVE: mwiley.writersblock@gmail.com*

What type of event will it be?
Is this a free event?
Who is hosting the event?
Name of Host(s):
Full names please
Your answer
Email address of Host(s)
Contract agreement will be emailed prior to event.
Your answer
Phone Number
(optional if you prefer contact by email only)
Your answer
What is the day and time that you are requesting?
If other dates are requested, please fill out separate form.
MM
/
DD
/
YYYY
Time
:
What is the day and time that you are requesting?
If other dates are requested, please fill out separate form.
MM
/
DD
/
YYYY
Time
:
What is the day and time that you are requesting?
If other dates are requested, please fill out separate form.
MM
/
DD
/
YYYY
Time
:
How long is the event?
There is a minimum of 1 hour for usage.
Hrs
:
Min
:
Sec
Will food/beverage be provided?
Please answer honestly. Alcohol is Prohibited.
How will you be paying?
Do not mail cash payments please.
Submit
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