Cosmic Application

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1. Hello, please tell us your full name, phone # and email* This field is required.
We might need additional information to better serve you.
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2. How did you hear about us?* This field is required.
Google
LinkedIn
Instagram
Cosmos Member
News
Referral
Other (Please specify...)
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3. Tell us about your business. Company Name? Describe in detail the type of space you need to do your work. We'd like to know how we can assist you in your goals:* This field is required.
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4. Please describe your typical work day* This field is required.
Insight into your workday can help us better serve your needs.
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5. What kind of work environment are you looking for? Also, please describe any special needs such as furniture, fixtures, equipment or signage.* This field is required.
We can customize your workspace; i.e. specific measurements of room, desk, display, furniture etc...
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6. What type of membership are you interested in? Virtual Office/Mailbox, Coworking (shared space), Dedicated Desk, Dedicated Office, access 24/7?* This field is required.
Visit our website at www.cosmosworkspace.com for Terms and Conditions of use
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7. Pick one that best suits your needs. We can also custom design your membership to fit your needs. (memberships are calculated per person and/or group rates)* This field is required.
One Day at a time ($35 Day Pass)
One Week at a time (5 Days $150)
One Month at a time (Month to month $250 shared space/$350 for 24/7 access)
Business Address
Mailbox
Virtual Office
Shared Coworking Space (9am-6pm)
After Hours Access (6pm - 11pm)
24/7 Access (6pm - 2am)
Affiliate Member (work under an existing member)
Conference Room Only
Dedicated Desk (8am - 2am)
Dedicated Room
Wellness Zone
Event Space Indoors
Event Space Outdoor Parking Lot
Just email us to info@cosmosworkspace.com
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8. How many days per month do you and your team plan to work out of Cosmos Workspace? How many after-hours events/conferences are you planning? Members receive 50% off for conference space after hours. Seats up to 40 people with equipment.* This field is required.
Access is the key to growth.
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9. Who's on your team and what kind of work would they be doing in the space?
Full Name
Type of Work
Relationship
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10. How would you contribute to the Cosmos Workspace community?* This field is required.
Positive contributions to any community builds good synergy.
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11. Have you ever been convicted of a felony? If so, please explain. Note that applicants that answer yes to this question will not be automatically excluded. * This field is required.
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12. Why do you want to work out of Cosmos Workspace?* This field is required.
Any particular reason?
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13. What is your zip code?* This field is required.
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14. Please tell us your business name & mailing addressName and address used for billing
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