WRT Room Rental Request

Submitting this form does not assume or guarantee a rental space. All bookings must be confirmed with an official contract and 50% deposit.

Any questions, contact Tim Wagner, Facilities Manager 914-723-7727 ext. 8134 or Tim.Wagner@wrtemple.org

Full Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Contact Phone Number

Area Code Phone Number

E-mail

Date of Event

Month Day Year

Time Event Starts

Time Event Ends

Facility Need For

Luncheon Meeting/Lecture Bar/Bat Mitzvah Party Wedding Bris/Baby Naming Kiddush Dinner Evening Party

Room(s) requested for Event

Comments (Please let us know additional requests)