Congregation Beth Israel Facilities Set Up Request Form

Event Name:

Event Date:

MonthDayYear

Expected Attendance:

Room(s) to be used:

Group/Organization Hosting Event:

Using Beth Israel as a drop off and pick up?:

Contact Person:

First NameLast Name

Contact Phone Number:

Area CodePhone Number

Contact Email:

Food and Beverage

Is this a catered event?

Caterer Name:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact Name:

First NameLast Name

Contact Phone:

Area CodePhone Number

Contact Fax:

Facilitator must verify that caterer has
insurance per Beth Israel requirements.

Verified:

Beverage Service:
Cups, stirrers, sugar, creamer, etc. will be provided with this service.

Check all that apply:

Other Beverages

Further Instructions:

Paper and Plastic Products
Paper and plastic products will be used unless specific arrangements are made in advance.

Napkins:

Plates:

Cutlery:

Chaffing Dishes Requested:

Other Serving Utensils, Bowls, etc. (please list):

List any additional food or snacks being provided by organizer:

List any special food to be ordered separately by Facilities Coordinator:

Account Name to Charge:

Set Up
Please email any diagrams to help us with your set up needs to lsampson@cbisd.org

6' long tables:

8' long tables:

8' x 18" table (long, skinny):

60" round table (seats 8-10):

72" round tables (seats 10-12):

Trash Can Quantity:

Number of chairs needed:

Special table/chair requests (registration/shalom, etc.):

White Linen for banquet tables (120 x 54")

$5.00 fee per linen

White linen for round tables (85")

$5.00 fee per linen

Audio and Visual

List Quantity of Mics

Sanctuary allows for 3 wireless mics, Social Hall allows for 1 wireless mic, Chapel allows for 2 wireless mics

Audio and Visual

List outside vendors and their phone numbers for your event

Beth Israel Committee Meetings

For Beth Israel Committee Meetings, please indicate the following:

Food will be ordered from:

Who is ordering food:

First NameLast Name

Munchies:

Cookies:

Soft Drinks:

Chips:

Account to Charge:

Shabbat Dinner

Shabbat Dinner Section

Number of Challah:

Number of 1oz Kiddush Cups:

Additional Notes: