'The Well' - Event Details
Name of the Class/Meeting/Event
*
Requested Date
*
-
Month
-
Day
Year
Date
Requested Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Description of the Class/Meeting/Event
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Social Media Handles
Which Package are you intereseted in? (More details can be found on website)
*
Single 'Class' Booking ($30)
4 Pack 'Class' Booking ($112)
Single 'Event' Booking ($50)
4 Pack 'Event' Booking ($180)
Additional Social Marketing ($30)
Please upload marketing image to be posted (can be sent at a later date)
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