Event Reservation Request | Temple Shaarei Shalom

Your Name(Required)

First Last

Name of Committee(Required)

Date Of Event(Required)

Additional Meeting Dates at the same time(Required)

Please enter a number from 0 to 11.

Enter the number of additional dates that you need.

Second Date(Required)

Third Date(Required)

Fourth Date(Required)

Fifth Date(Required)

Sixth Date(Required)

Seventh Date(Required)

Eighth Date(Required)

Nineth Date(Required)

Tenth Date(Required)

Eleventh Date(Required)

Twelfth Date(Required)

Name of Event for Calendar(Required)

Estimate of Number of Attendees(Required)

Please enter a number from 1 to 700.

Room Setup Requirements(Required)

Contact Name and Number(Required)

Audio/Visual Requirements(Required)

Yes

Audio/Visual Requirements Details(Required)

Water(Required)

Yes

Coffee and Tea(Required)

Yes

Event Start Time(Required)

Event End Time(Required)

Email(Required)

Phone(Required)

Special Arrangements or Comments