Office Rental Application Name * Phone * Email * Address Title(s) (in regards to the service(s) you offer) * Service(s) (what you would be offering at the VHHC) * Experience (how long have you been practicing) * How many clients do you currently serve approximately? * What length(s) of time are your sessions? * What is your hourly rate? * About you (tell us a little about yourself) * Desired schedule (the days and times of the week you hope to see clients) * Desired rate plan Desired rate plan $200/mo :: 6hrs/wk $250/mo :: 8hrs/wk $300/mo :: 10hrs/wk $350/mo :: 12hrs/wk $400/mo :: 14hrs/wk $500/mo :: 18hrs/wk $650/mo :: 24hrs/wk $800/mo :: 32hrs/wk Desired add-ons Desired add-ons BioMat ~ $100/mo Linens ~ $15/mo Storage ~ $10/mo Printer ~ $10/mo Complete package (all add-ons) ~ $120/mo Parking Pass ~ $50 (one-time fee) Have you rented a commercial space before? * Have you rented a commercial space before? * Yes No When do you hope to begin renting? * Submit