Momentum

Ben Moore

Building Request Form

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

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Date *

Date

YYYY

Time *

Time

Hour

Minute

Second

How long will you need the facility for? *

Purpose of the event *

Please let us know what event you are planning on hosting with us to better accommodate your needs.

Room(s) you'd like to reserve:

Our Main Space can seat up to 190 in chairs (80 if they are at tables)

Expected number of people *

Room set-up needs *

Please specify any and all needs you might like for your event (tables, chairs, audio/visual requirements, etc.) **Any audio/video requests are on a case by case basis and could also be an additional charge**