Space Rental Payment
Name
*
First Name
Last Name
Email
*
Program Title
*
Event Start Date
*
Event End Date
*
Event Frequency
*
One-time Event
Daily
Weekly
Bi-Weekly
Monthly
Bi-Monthly
Yearly
Other
How long did you use the space? (e.g. 3 hours once, 2 hours/week for 10 weeks, 1 hour/month for 12 months, etc.)
*
Which space did you rent? (check all that apply)
*
Small Room ($20/hour)
Conference Room ($30/hour)
Main Hall ($40/hour)
Total Number of hours (Please calculate the total number of hours for which you used the space)
*
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USD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Total
Submit
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