First name: Last name: Email address: example: scooby@dooby.doo Street address: City: State: example: CA Zip code: example: xxxxx or xxxxx-xxxx
Telephone number (with area code) : example: 203-555-5555
Do you have a fax? If yes, insert it in the box below.
example: 203-555-5555
Tip: use hyphens to separate number groups.
Credit cards accepted for payment:
American Express, MasterCard, VISA, Discover.
Also checks and cash.
1. Could you tell us what is the intended date of this catered affair?
2. How many guests do you plan to have?
3. Where do you intend to hold this affair? Select one At Home At a rented establishment Undecided yet Outside Fairfield County
4. At what time of the day is the event to be held?
Morning Afternoon Evening Noon Other
5. Do you wish the order to be picked up or delivered?
delivered picked up
6. Any particular food requirements? Please give us an idea.
7. PLEASE INDICATE HOW YOU WISH TO BE CONTACTED: LETTER E-MAIL PHONE CALL FAX
MANY THANKS FOR COMPLETING THIS FORM!
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