LEHIGH VALLEY KASHRUTH COMMISSION
MASHGIACH VISITATION FORM
DATE OF SUPERVISION:
*
-
Month
-
Day
Year
Date Picker Icon
EVENT NAME OR DESCRIPTION:
*
Ex: Meat Lunch, Friendship Circle Luncheon, etc.
LOCATION VISITED:
*
JCC - JEWISH COMMUNITY CENTER
JDS - JEWISH DAY SCHOOL
JFLV - JEWISH FEDERATION
JFS - JEWISH FAMILY SERVICES
MANHATTAN BAGEL
GIANT
WEIS
CARVEL
MENCHIES
RITAS
PELLMAN CHEESECAKE FACTORY
CONGREGATION SONS OF ISRAEL
CONGREGATION KENESETH ISRAEL
BINAH WINERY
OTHER
Location that supervision services were rendered at.
If other location, please specify:
*
CLIENT HOSTING EVENT:
*
JCC - JEWISH COMMUNITY CENTER
JDS - JEWISH DAY SCHOOL
JFLV - JEWISH FEDERATION
JFS - JEWISH FAMILY SERVICES
MANHATTAN BAGEL
GIANT
WEIS
CARVEL
MENCHIES
RITAS
PELLMAN CHEESECAKE FACTORY
CONGREGATION SONS OF ISRAEL
CONGREGATION KENESETH ISRAEL
SUNSHINE CATERING
AROUND THE TABLE CATERING
BINAH WINERY
OTHER
Client to be invoiced for this event. If unknown, please leave blank.
If other client, please specify: (If not applicable type N/A)
*
EVENT LOCATION:
PERSON IN CHARGE OF EVENT:
*
PO NUMBER IF AVAILABLE:
*
DATE (Please fill out one event sheet per day if multi-day event):
-
Month
-
Day
Year
Date Picker Icon
START TIME
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
END TIME
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
TIME TO BE PAID FOR: (Round to 15 minutes)
*
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
15
30
45
Minutes
TOTAL TIME TO BE PAID FOR (Hours/Minutes):
WERE THERE ANY DIFFICULTIES? (If none, type N/A)
*
ADDITIONAL COMMENTS: (If none, type N/A)
*
Email
example@example.com
Mashgiach Name:
*
E-mail Address
*
Phone Number:
*
-
Area Code
Phone Number
LVKC MATCHING EVENT PO#:
To be completed by administration.
Submit
Should be Empty: