Samberg Order Form Startup Checklist Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Contact DetailsName *FirstLastPhone *Email *Getting StartedName of Event *Date *What is the format of your event? *Buffet StyleSeated MealsBreaksReceptionHow many people do you estimate for the day? *What is the estimated timeframe of your event- please provide an agenda/timeline:What time do you plan on arriving onsite? *Space SetupWill you need Registration/Check in Tables? *YesNoHow many Chairs?Room Set up? *ClassroomCocktail Tables - Reception StyleCrescent RoundsRounds?Theater StyleU - ShapePlease review the following and check if neededDo you need a Podium provided by SambergDo you need a Hosted Coat Check Staffing? (Fee Applies)Rounds of *6810How many People? *2 people per table, additional $65 per table: includes specialty linen.Please review the following and check if neededDo you need a 6x8 RA Riser (only 3 available, Rental Fee applies) - $200.00Do you need a Coat Rack inside the room? (rental fee applies) - $150.00Do you need Specific Signage?Yes, I will need Specific Signage for the Reader BoardsAll orders are directly placed with MITV AVPlease upload your Reader Board Signage as a PDF file * Click or drag files to this area to upload. You can upload up to 20 files. Food and Beverage DetailsBreakfast Menu Options:Continental (minimum 12 guest) - $17.00Conference (minimum 12 guest) - $19.00Better for You (minimum 12 guest) - $21.00Hot Breakfast - $25.00Executive Hot Breakfast - $26.50Meeting Well Breakfast - $24.50Plated Breakfast (minimum 20 guest) - $32.50Breakfast Hors’Doeuvre (select 5 items)s - $19.50Breakfast Sandwiches (select 2) - $5.50A La Carte Breakfast - $0.00Please list your A La Carte Breakfast items desiredPlease list your desired Breakfast SandwichesPlease list your 5 desired Breakfast Hors’Doeuvres itemsBreakfast Sandwiches OptionsEggs Bacon and Cheese on an English MuffinEgg and Turkey Sausage on an English MuffinEgg and Cheese on English MuffinBreakfast Burrito with Egg and Cheese and SalsaEgg White Tomato and Spinach WrapBacon, Egg and Cheese on a CroissantSouthwest Empanada, Scrambled Egg, Pepper, Onions & Pepper-Jack CheesePlease select two breakfast sandwich optionsTake A Break – AM OptionsMid-Morning Break - $14.00Meeting Well Break - $11.00Fruit and Nut Bazaar - $13.00Apple Break - $10.50Power Break - $12.00Lunch Menu OptionsSandwich Luncheon (please select 4 sandwiches) - $23.00Meeting Well Lunch - $24.50Boxed LunchSandwich Box Lunch - $18.00Executive Box Lunch - $20.00Bistro Salad Box Lunch - $18.00Would You Like Lunches Pre-Bagged Or Deconstructed? - $0.00Prepare Boxed Lunch asPre-BaggedDeconstructedLunch Buffet OptionsRoom Temperature Lunch - $39.00Executive Room Temperature Buffet Lunch (please select 2 proteins and 4 salads) - $43.50Superfood Market Salad - $27.50Please list your desired 2 proteins and 4 saladsThemed LunchesLittle Italy - $36.00Asian - $36.00Mexican - $36.00Indian - $41.00Nuevo Latino - $42.00Cuban - $38.00Thai - $38.00Lunch on the Charles - $50.50Dietary Notes:Custom BuffetTwo Main Courses - $41.50Three Main Courses - $49.50Selection Notes:Plate Lunch OptionsTwo Main Courses - $34.00Three Main Courses - $39.00Would you like the salad and rolls (Preset)?YesNoDietary Notes:Please provide, any seating charts, or name cards with allergens All Menu Count Options are due three days prior Click or drag files to this area to upload. You can upload up to 6 files. Please provide a timeline of your event:Ambient Plate Lunch OptionsTwo Course Meal - $33.00Three Course Meal - $0.00Selection Notes:Take a Break - PM OptionsSweet ToothIce Cream Sundae BarSpa BreakThe Green MonsterAfternoon in ParisThe New EnglanderAfternoon TeaÀ La Carte Snack ItemsPlease List À La Carte Snack ItemsBeveragesBottled Water - $3.00Assorted Soda and Juices - $3.00All Day Beverage Service - $14.00Half Day Beverage Service - $6.50Two Hour Beverage Service - $5.50Notes:Custom BuffetsTwo Main Courses Selections - $41.00Three Main Courses Selections - $49.50Selection Notes:Please list your custom buffet selections for your main course selections.Passed Hors-d'OeuvresSelection of Four for One Hour - $17.50Selection of Six for One Hour - $23.50Selection of Six for Two Hours - $40.00Selection Notes:Reception Station OptionsTable Top Bites - $8.50Cheese Tasting Table - $14.00Artisan Board - $16.00Crostini Table - $12.00Selection of Dried and Cured Meats with Marinated Olives - $13.00Country Pate, Cornichons, Whole Grain Mustard - $0.00Toasted Pita Station with assorted dips - $10.00Tapas Bar - $28.50Mediterranean Station - $27.50Japensese Station - $31.00Dim Sum - $28.00Ceviche and Sushi Bar - $38.00Slider Bar - $25.50Caribbean Station - $29.50Taco Station - $28.00Dinner on the Charles - $45.00Chinese Station - $31.00Pasta Station - $26.50Salmon Carving Station - $23.50Turkey Carving Station - $19.00Beef Carving Station - $25.50Island Creek Oysters and Shrimp (MKT) - $0.00Deluxe Raw Bar (MKT) - $0.00Station Enhancements - $0.00Station Enhancements Notes:Please list your desired station enhancementsDessert ReceptionDessert Station - $19.00Shortcake Station - $19.00Mini Mason Jar Mousse Station - $21.00Selection Notes:Plated Dinner OptionsThree Main Courses - $62.00Four Main Courses - $68.50Would you like the salad and rolls (Preset)?YesNoPlease provide, any seating charts, or name cards with allergens All Menu Count Options are due three days prior Click or drag files to this area to upload. You can upload up to 6 files. Dietary Notes:Please provide a timeline of your event:Bar PackagesWine Service with Dinner - $0.00Soft Drinks - $0.00Beer and Wine - $0.00Premium Bar - $0.00Platinum Bar - $0.00Select your WinePremium - $28.50House - $25.50Choose a time-frame for soft drinks1 hour2 hours3 hours4 hours5 hoursChoose a time-frame for beer and wine1 hour - $14.002 hours - $18.003 hours - $22.504 hours - $27.505 hours - $31.50Choose a time-frame for premium bar1 hour - $19.002 hours - $25.503 hours - $33.004 hours - $40.005 hours - $47.50Choose a time-frame for platinum bar1 hour - $21.002 hours - $29.503 hours - $38.004 hours - $46.505 hours - $55.00House LinensBlack - $15.00White - $15.00Sandalwood - $15.00Any Florals Needed?Cocktail TablesLunch/Dinner Tables (60 in rounds)Cost ranges from $85.00 to $110.00Submit
