Please complete the following online form.

Once complete, our team will review the information and send you additional instruction.

Name

First Name

Last Name

Number

Email Address

Company Name

Website

Business Description

How did you hear about Black Dot

Social Media

Friend/Word of Mouth

Event

Why are you interested in a Black Dot membership?

What primary services could you see yourself using?

(tech lounge, rentals, retail, gallery, etc.)

Are you interested in hosting any workshops?

If yes, briefly describe what subjects the workshops would cover...

Are you currently a member of another co-working space?

If so, where?

How many days a week will you use the space?

Everyday

A few times a week

Once/week

A few times a month

Once/month

I don't know