Rental Exchange Program - Request Form
Please check our availability calendar on-line: http://www.counterpulse.org/availability-calendar/

Pricing: https://bit.ly/2EQmBKP

Our roster for private events is full until July 1st, 2020.

For any questions, please email kevin@counterpulse.org
Full Legal Name *
Company or Organization
Type of Rental *
Location *
Required
Day / Date / Time(s) of event (include all details) - http://www.counterpulse.org/availability-calendar/ *
Estimated Attendance *
Description for Workshop/Class or Event/Performance (indicate n/a if for Rehearsal) *
What kind of technical, set-up, and front of house support is needed for your event? --- A/V Equipment Requests (e.g. Microphones, Projectors, Playback Audio)
Front Of House/Set-Up Requests (e.g. Tables and Chairs)
Email *
Phone Number *
Billing Address *
Are you a CounterPulse member? (Members at the Instigator levels and above receive a discount: http://counterpulse.org/join-2/)
Clear selection
Are you able to protect the space and keep our prices low for artists / low-income community by contributing an additional 20% for this booking? (Pricing: https://bit.ly/2EQmBKP, for events, detailed pricing to be worked out with staff)
Clear selection
We’d love to hear from you! How did you hear about CounterPulse? Why would you like to work with CounterPulse?
Submit
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