Space Rental Inquiry

Mixin Mingle Space Use Application

Interested in hosting something at our location? Please complete the fields below. We will contact you shortly to discuss pricing arrangements and availability.
Full Name*

First NameLast Name
Business Name/Group Affiliation
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Website
Date*

DayMonthYear
Start Time*
Be sure to include extra time for set-up.
End Time*
Be sure to include extra time for clean-up.
Event Type*
Additional Event Details
Private or Public Event?*
Number of Guests*
Will food and beverages be served to guests?*

Catered/Store-Bought FoodNon-Alcoholic BeveragesAlcoholic Beverages (private parties only)No food or drinks will be served
Does your company / organization carry liability insurance?
How did you hear about us?
Additional Comments
Should be Empty:

Mixin Mingle Space Use Application