Private Room Reservation Form
Company
Contact Name:
Phone Number
Type of Event
Date of Event
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
,
2002
2003
2004
2005
2006
2007
Time:
From
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
To
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
12am
1am
2am
# of Guests:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Number of Tables:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Rate per table:
$7 (M-F, 11a-6p)
$8 (Sa, Su, 11a-6p)
$10 (Su-Th, 6p-2a)
$13 (F-Sa, 6p-2a)
Est Billiards Total:
$
Rate per room:
None
Game Room - $75
Sky Lounge - $150
Est Room Total:
$
Est Room & Billiards Total:
$
Catering Plan
:
None
Plan A ($12.50)
Plan B ($13.50)
Plan C ($15.50)
Plan D ($16.50)
Plan E ($17.50)
Plan F ($16.50)
Soda Option:
None
Unlimited ($2.50 per person)
Alcohol Option:
Est Catering Total:
Comments:
Deposit:
Please Print Form and Fax to 310.341.3504
516 N Sepulveda Blvd, Manhattan Beach, CA 90266 (310) 372-4343, (310) 341-3504 FAX
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