| Name of person filling out this form: |
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| Email Address: |
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| Name of Caterer: |
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| Name of Event: |
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| Date of Event: |
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| Time of Event: |
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| Location of Event: |
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| Number of attendees (approximately or a range):
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| Types of Food: |
Beef or Lamb
Chicken
Dairy (Chalav Stam)
Dairy (Chalav Yisroel, including dishes)
Fish
Parve only
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| Any alcoholic beverages? |
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| When and where is the cooking taking place?
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| Type of Service: |
Drop-off (nothing returning)
Drop-off (items
returning)
Buffet with service
Full-serve
Other (please
describe below)
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| What type of food-related equipment is being
used? Paper, plastic, glass, etc. |
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| If anything food-related is being rented,
please describe: |
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| Who from your organization will be delivering
the food or attending the event (not including people who are only
there as servers)? |
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| Please use this space to provide any other
details that we need to know regarding this event. |
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