UIS Innovate Springfield Day Drop-In Form
$5/hour OR $25/day (8:30am-5pm, M-F)

"A photo copy will made of all drop-in guests' valid state drivers license/ID card prior to use of the space. Drop-in service rates must be paid in advance via a digital invoice sent to the email provided by guest. Debit/credit card payment preferred (NO CHECKS)."
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Email *
Name (First, MI, Last): *
Phone: *
Address: *
Company:
When are you planning on working at Innovate Springfield? *
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Would you like to pay by the: *
If you are paying by the hour, when do you plan to be here (arrival time/duration of stay)? *
How did you hear about us?
Would you like to be added to our e-newsletter mailing list?
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Additional Comments/Questions:
A copy of your responses will be emailed to the address you provided.
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