Designer Information Form

 

Please complete & return to your Table Coordinator.   List any additional information on the reverse.

Dining by Design is Thursday, November 2, 2017, at the Casa de Amistad in Harlingen.  

 

Designers’ Contact Information:

 

Name:___________________________________________

 

Address:___________________________________________________________

 

Email:___________________________________________  

 

Home Phone:___________________________           Cell:____________________________ 

 

Name:___________________________________________ 

 

Address:___________________________________________________________

 

Email:___________________________________________  

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Home Phone:___________________________           Cell:____________________________ 

 

Table Information:

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Table Name:__________________________________________________________  Number of Guests:____________________

 

Table Description:_________________________________________________________________________________________

 

Color Scheme:__________________________________  Main Items/Props:___________________________________________

 

Please Select:

_____  I will provide my own table.  The dimensions are:__________________________________________________

_____  I will use a 60” round table provided by the Casa de Amistad.  I understand this seats a maximum of 8 guests.

_____  Please rent the following for me:               _____ a 72” round table          _____ # of 2.5’ x 8’ rectangular(s)  

_____  I will provide my own chairs.

_____  I will use the standard metal chairs provided by the Casa de Amistad.             Number needed:____________  

_____  I must have access to electricity. 

_____  Please consider the following special needs: ________________________________________________________

 

_____________________________________________________________________________________________________

Dining by Design will make every effort to accommodate your requests.

 

Table Sales:

_____  My table will be underwritten by:__________________________________________  Amount:_______________

_____  I will be responsible for selling my complete table.

_____  I will sell _____ (#) seats at my table.  The Committee may sell _____ (#) seats at my table.

_____  I would like the Dining by Design Committee to sell my complete table. 

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Guests Seated at Your Table: 

1. __________________________  paid  _____                        6.  _________________________  paid  _____

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2. __________________________  paid  _____                       7.  _________________________  paid  _____

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3. __________________________  paid  _____                       8.  _________________________  paid  _____

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4. __________________________  paid  _____                      9.  _________________________  paid  _____

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5. __________________________  paid  _____                       10.  _________________________  paid  _____  

 

Please make checks payable to the American Cancer Society.  

_____  Check here if you continue with additional information on the reverse.