Take Up Space!Rent out AMPT Space for your next holiday gathering! Read more about AMPT Space here! Name * First Name Last Name Job Title * Organization/Company * Is your organization a registered 501c3 non for profit organization? * Yes No If your organization is registered 501c3 non for profit, does your organization have an annual operating budget under $2 million? (Organizations with operating budgets under $2M are eligible for the AMPT’s Take Up Space grant to cover some rental costs. Organizations must submit a grant application prior to receiving a rental estimate. To apply, please visit the AMPT Take Up Space webpage) * Yes, I represent is a registered 501c3 non for profit with an annual operating budget under $2 million No, I represent is a registered 501c3 non for profit with an annual operating budget over $2 million No, I represent a foundation No, I represent a for-profit organization, LLC, or corporation No, I am an individual looking for workspace or private event space Email * Phone * (###) ### #### Event Type: * Workspace Meeting or conference room space Nonprofit programming Gala or fundraiser Corporate event Private event Other If other, please specify: Preferred Date MM DD YYYY Potential Back-up Dates (Please list three) * Event Start Time (in Central) * Hour Minute Second AM PM Event End Time (in Central) * Hour Minute Second AM PM What is your budget for space for this event? * Estimated # of Guests * Will there be any minors (people under the age of 18) present? * Yes No Not Sure Will there be guests under the age of 21 present? * Yes No Not Sure Will food be served? * Yes No Not Sure Will alcohol be served? * Yes- beer, wine,seltzers, and ciders (no spirits/hard alcohol) Yes- full bar including spirits and cocktails No Not Sure Will you require setup or breakdown time? (If yes, please specify how much time you need before and after the event) * Do you have any specific requirements or equipment needs for the event space? (e.g., seating arrangements, tables, AV/Lighting equipment, catering supplies, etc.) * How did you hear about AMPT Space? * AMPT Social Media AMPT Bi-Weekly Newsletter AMPT Event AMPT Website Other Any other details and/or questions? Thank you!
