Contact Name *

First Name

Last Name

Phone

(###)

###

####

Events Co-Ordinator

Do you have a host or events co-ordinator who can assist with a singles event?

Yes

No

Eventbrite App *

Are you comfortable with bookings being made for our events (at your venue) through the Eventbrite app?

Yes

No

Min/Max Attendees

What would be the ideal range of attendees for our singles events?

Less than 5

5-10

10-15

15-20

20-30

30-50

More than 50