Reserve

Organization Information

Company Name*

Address*

Street Address City State ZIP Code

Name*

First Last

Contact Title*

Phone*

Contact Email*

Organization Sector*

Is organization a non-profit?*

Yes
No

Please describe your organization, mission and the constituents/customers that you serve*

Event Information

Event Title*

Expected Attendance*

Event Date*

Start Time*

HH :

MM

End Time*

HH :

MM

Entry/Setup Time*

HH :

MM

Is the event open to the public?*

Yes
No

Is registration required?*

Yes
No

Would you like to use Co.act's registration template?*

Yes
No

Is this a recurring event/meeting request?*

Yes
No

Is there a cost to attend this event?*

Yes
No

If yes, indicate cost*

Would you like Co.act to help promote your event?*

Yes
No

If yes, share promotional language, registration link, and when (date) you would like Co.act to start promoting your event*

Please describe your event, goals, participants and why you are interested in Co.act Detroit*

Space Information

Requested Room or Space*

(Space images and details available by clicking here)

The Gathering Space (Flexible Meeting Area)
Capacity: 14-80 people
The Communal Table (Open Meeting Room)
Capacity: 16-22 People
The Pavillion (Large Conference Room)
Capacity: 10 people
Peanut Butter Block (Medium Conference Room)
Capacity: 8 people
Bumpy Cake (Small Conference Room)
Capacity: 6 people

Room Layout*

Description of Other Layout*

Will you be using a mac or a pc for your presentation?*

Mac
PC
N/A– Not connecting to digital devices

Amenities

Does your event require evening or weekend use?*

Yes
No

Will food and/or beverages be served?*

Yes
No

Requested Amenities*

Projector/Monitor
Handheld Mics (1-2) (Event Space Only)
Registration Table
Easel(s)
Other
None

Number of Easels*

Description of Other Amenities*

Agreements

Post-Event Survey*

I will complete Co.act Detroit's post-event survey.

Policies*

I have read and agreed to the Co.act Detroit Event Policy.

Name

This field is for validation purposes and should be left unchanged.

Convening Room or Space Application Form

Organization Information

Event Information

Space Information

Amenities

Agreements