Event Request

Interested in hosting an event at Verbena? Complete this form and our Events team will contact you to discuss details.

Your Contact Information

First Name

Last Name

Email Address

Phone Number

Phone number extension

Company

Your Event Details

Type of Event (e.g., Birthday Party or Business Dinner)

Event Date

Start Time

End Time

Number of People

Is there any additional information you would like to add?

How did you hear about us?

Please specify

biz_type