Hillel at Brandeis- Room Reservation Form
If you have any questions, please call at 781-736-3580 or email hillelst@brandeis.edu. Thank you!!
Title of Event: *
Your answer
Sponsoring Group: *
Your answer
Contact Person: *
Your answer
Contact Email: *
Your answer
Event Day: *
What day of the week will this event take place?
Your answer
Event Date: *
MM
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DD
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YYYY
Start Time: *
Time
:
End Time: *
Time
:
Estimated Number Attending: *
Your answer
Room Preference #1 *
Your answer
Room Preference #2 *
Your answer
Room Preference #3 *
Your answer
Brief Description of Event: *
If this event includes a speaker, please provide a brief biography of the speaker.
Your answer
Which Hilel Board Member and/or Hillel Staff Member have you spoken with about this event? *
(Please do not make any purchases without consulting with a board/staff member to make sure that we are not paying for something we already have.)
Your answer
Please be aware that various charges may apply. How do you plan on funding these charges? *
Your answer
What set up do you need? *
(Chairs, tables, arrangement and number, AV, etc.) Please be as specific as possible!
Your answer
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