Name *

Address *

Phone Number *

Email *

How much square footage are you interested in renting? *

What types of activities will you be using your space for? *

When are you interested in moving into the rented space? *

Does your work generate any noise, odor, dust, or other potential disturbance? If so, please describe *

Does your work require any unique utility services? (220v electric, natural gas, venting, ect.) If so, please describe *

Do you plan on having more than two primary users in your space? If so, please see the information on additional users. *

Will the general public be invited to your space? If so, will it be by appointment or during posted "open" hours? *

Reference #1 *

Reference #2 *