Learning & Innovation Center Rental Form

Thank you for your interest in renting with the VSCPA Center for Innovation and Learning in Glen Allen, VA. You can find our current rates and room size information on our website here. Please complete this form to express interest in renting our space.

Thank you,

Chandra Painter | cpainter@vscpa.com

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* Contact Information

Your name

Email address

Phone number

Company name

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* If you are not the primary contact, please provide their information.

Primary contact name

Contact email address

Contact phone number

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* What is the title of your meeting or event?

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* What date and time is your meeting or event?

First Choice Start Time

Date

Time

AM/PM

First Choice End Time

Date

Time

AM/PM

Second Choice Start Time

Date

Time

AM/PM

Second Choice End Time

Date

Time

AM/PM

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* Dates and attendees:

Other dates you are considering:

Estimated number of attendees:

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* Meeting needs:

	Yes	No
Will you have virtual attendees?	Will you have virtual attendees? Yes	Will you have virtual attendees? No
Will you need access to audio visual equipment?	Will you need access to audio visual equipment? Yes	Will you need access to audio visual equipment? No
Are you interested in snack and beverage service?	Are you interested in snack and beverage service? Yes	Are you interested in snack and beverage service? No

Other (please specify)

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* Contact Information

Question Title

* If you are not the primary contact, please provide their information.

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* What is the title of your meeting or event?

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* What date and time is your meeting or event?

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* Dates and attendees:

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* Meeting needs:

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* Additional information or questions about the booking.