Your Information:Full Name*First NameLast NameE-mail*Cell Phone Number*Area CodePhone NumberFacility Rental:Event:Please select.BrisBar/Bat-MitzvahWeddingShabbat DinnerSheva BrachotOtherOther:Date Facility Needed:*1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberMonth12345678910111213141516171819202122232425262728293031Day20252024202320222021202020192018YearTime Frame the Facility is Needed:*Which Room:Main SanctuaryKiddush RoomBasementBalconyRental Fee : Fee includes use of table and chairs, set-up and clean-up **10% discount for Chai Club MembersRental Fee:*Please select.Events with up to 50 guests - $360Events with more than 50 guests - $600Events with up to 50 guests - $324 with my Chai Club MembershioEvents with more than 50 guests - $540 with my Chai Club MembershipAdditional Fees:Audio/Visual$25 for microphone$150 Complete Sound set-up$100 Access to Chabad centerpieces, vases, etc. All centerpieces and vases should be returned cleaned, to where they were found.Number of Tables Needed:*Please pick from the tables available and listed below. You can rent additional amounts or sizes from an outside vendor.Number of Chairs Needed:*Building AccessAccess to the building is available Monday – Thursday from 10:00am – 4:00pm. If you need access outside these times please call the office to make special arrangements.PLEASE NOTE1. All food must be Cholov Yisroel, Pas Yisroel and Glatt Kosher. Please see list of recommended caterers below. 2. Wine must be Kosher Mevushal. 3. For a Shabbat event (begins Friday at sunset through Saturday at nightfall), all flowers, decoration, food and anything else to be used on Shabbat must be delivered prior to the beginning of Shabbat on Friday. There can be no photography or audiovisual usage on Shabbat. There are also no dairy catering options on Shabbat. 4. Chabad is responsible for cleaning and set-up (chairs and tables set out) prior to the event and sweeping and vacuuming after the event. Anything else that is left is your and/or the caterers responsibility to clean up. Please do not leave your centerpieces. 5. Your caterer will need to fill out this form and send it to the office no later than one week before the event. 6. If you choose to have the tables set-out, you are responsible for providing Chabad with a diagram of the set-up not later than 5 days prior to the event. 7. Music should be limited to Jewish or Israeli music. 8. There should not be mixed gender dancing. 9. If catering is being dropped off, you will need your own waitstaff, linens, and paper goods. Please make sure that someone is there to put the food away once delivered. *I have read all the above and I agree to follow these terms and conditions.Approved Full service Caterer Options: - Foremost Catering - 201- 664-2465 - Main Event 201-894-8710 - Pomp Caterers – 973-539-4314 - Table One Catering - 917- 324-6276Other Caterer:Please let us know who you would like to use for catering and the Chabad office will let you know if this caterer is approved in our facility.Waiter/Waitress help- Angela Serving 845-803-8788Available for use at Chabad5 – 5’ round tables 3 – 6 ‘ long tables 3 – 8’ long tables 20 – 6’ skinny tables 2 refrigerators 2 freezersMisc. Other Suggested Vendors Linens - White Plains Linens 737-2532 Table and Chairs & Linens - Alperson's 592-8300 Kosher dishes, tents, podiums, etc. - ABC Party Fabulous, Kosher division. 845-358-5744 Ext. 300 Kippah's and Women's Head Coverings - iKippah.comPayment Information:Total:$0.00Payment:Credit Card Check Credit CardVisaMasterCardAmerican ExpressDiscoverCredit Card TypeCredit Card NumberSecurity CodeName on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberExpiration Month2022202320242025202620272028202920302031Expiration YearBilling AddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountrySubmitShould be Empty: This page uses TLS encryption to keep your data secure.