Think Center Rental Form

Organization Name *

Your Name *

Your Email Address *

Your Phone Number *

Is your organization a member of the Chamber? *

Enter required value Yes No

Date of Event *

Time of Event *

Name of Event *

What is the planned number of attendees for the event? *

Please provide a description of the event. *

Is this a public or private event? *

Private

Public

Are you a 501(c)3 organization? *

Enter required value Yes No

Certificate of Insurance *

Do you understand that a Certificate of Insurance in the Greater Wilkes Barre Chamber of Business and Industry's name is needed before event?

Will you need Chamber staff at the event? *

Enter required value Yes No

If so, what assistance is needed of the Chamber team?

Would you like a tour of the space? *

Enter required value Yes No