Please fill out this form and fax it to our main office at 973-353-9886 or email your responses to wisommm_event_services@yahoo.com.

Name:_______________________________________________________________

 Agency/Organization:_______________________________________

 Day Phone#:________________________ Eve. Phone#:__________________

 Cell Phone#:________________________ E-Mail:_______________________

 Event Date:_________________________ Number of Guests:_____________

 Type of Event: Small Meeting (up to 30 people) [ ] Lecture [ ]

Large Meeting (over 30 people) [ ] Party [ ]

Cocktail Reception [ ] Wedding [ ]

Banquet/ Buffet [ ] Concert [ ]

 Other________________________________________________________________________

Event Start Time:____________________ Event End Time:_______________

Rental Area: Sanctuary (seats 1200) [ ] Gymnasium [ ]

Hunter Hall [ ] Kitchen [ ]

(seats 150- 200 with tables & chairs – 300 w/chairs only)

Auditorium (w/stage) [ ]

(seats 150- 200 with tables & chairs – 600 w/chairs and balcony only)

Hunter Hall & Auditorium [ ]

(seats about 400 with tables & chairs – 1200 w/chairs & balcony only)

Third Floor Auditorium (w/stage) [ ]

(seats 100 – 200 with tables & chairs – 300 w/chairs only)

Conference Room [ ]

(seats 15 around the table – room capacity up to 40)

Do you need: Large Tables (seats 8-12) [ ] Podium [ ]

Small Tables (seats 4-6) [ ] Music [ ]

Long Tables (buffet or conference) [ ] Catering [ ]

Tablecloths [ ] Dance Floor [ ]

# of Chairs: Banquet chairs [ ] Folding Chairs [ ]

Other:_______________________________________________________________________

Comments____________________________________________________________________

WISOMMM Event Services - 15 James Street – Newark, New Jersey 07102 – Phone (973) 353-9888 - Fax (973) 353-9886 – E-Mail: wisommm_event_services@yahoo.com