Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Business or Organization Name (optional)
Event Date (first date if a recurring or multi-date event)
*
-
Month
-
Day
Year
Date
Is this a Recurring or Multi-Date Event?
*
Yes
No
What time will your event start?
Hour Minutes
AM
PM
AM/PM Option
What time will your event end?
Hour Minutes
AM
PM
AM/PM Option
How many people are expected at your event? (approximately)
What areas of the Community Corner will you need for your event?
*
Welcome / Reception
Conference Area
Rainbow Room Gazebos
Community Space
Breakroom & Indoor Picnic Area
What Equipment will you need for your event?
*
(1) Large Screen & Projector
(4) 55" Televisions
(1) Speakers Podium
(9) Bar Top Tables
(10) 5' Folding Tables w/Table Coverings
(3) 6' Folding Tables w/Table Coverings
(80) Metal Folding Chairs
(1) Welcome / Reception Desk
(2) Rolling Coolers
(1) Popcorn Machine
(3) Semi-Private Gazebos with 9 sofas
(1) Conference Table (seats 8)
(2) Wireless Microphones and Speakers
FREE HIV Services available for your attendees
No equipment - clear the space!
RipplePHX Notes:
Tell us about your event:
*
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