Request | The BeachHead by Connect

Name*

First Last

Email*

Phone*

Company Name*

Company Zip Code*

Date Requested*

Travel date or start date. If unknown, do your best.

How much time is needed?*

For how many people?*

What is the purpose of your trip?*

What do you need?*

Office Space
Conference / Meeting Room
Other

Other need?

BeachHead Office Locations*

Connect Membership*

Please provide the type of Membership Level you have at Connect. If you are a tech or lifesci startup and would like to use the space, please write in 'Company - [Company Name]'

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