Rental Request Form
Event Address: Wellness Village NH, 660 Mast Road, Manchester, NH 0310
Contact us at (603) 935-9556 or wellnessvillagenh@gmail.com with any additional questions.
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Name *
Email *
Organization *
Event Title *
Event Description *
Requested date for event: *
If this is a series, please select the start date here and include the additional relevant dates in the notes below.
MM
/
DD
/
YYYY
Requested start time for event: *
Time
:
Requested end time for event: *
Time
:
Requested time block for event (includes setup/breakdown time): *
Please include any timing details we should be aware of: *
ie. "With renting for a full day, I plan to see clients from 10-4pm with the hour before and after that dedicated to set up, prep and note taking."
Requested location: *
Check all that apply in regards to how we can best support your time in our space: *
Required
Cost outline:
OFFICE ROOM RENTAL
8 hours (full day) = $50
4 hours (half day) = $25
2 hours = $15

TREATMENT ROOM RENTAL
8 hours (full day) = $50
4 hours (half day) = $25
2 hours = $15

GATHERING ROOM
8 hours (full day) = $100
4 hours (half day) = $50
2 hours = $25

I understand that the costs outlined above are in place and an agreement and/or payment will be required for the finalizing of this rental: *
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