Family Style Event Request

PRIVATE DINING ROOM REQUEST

Guest Information
Name*
First Last UCLA Title
Phone*
E-mail*
Enter Email Confirm Email
Campus Department or Organization (if applicable)
Event Information
Desired Event date
MM slash DD slash YYYY
Desired Event time

: Hours

Minutes

AM/PM
How many guests are attending?*
Please enter a number from 2 to 12.
Seating Preference
- Small (seats 6)
- Large (seats 12)
- No preference
Seating is based on restaurant occupancy/business level and is assigned the day of event.
Additional Information
Please list any dietary restrictions and special requests below (such as celebrations).
Dietary Restrictions
Special Requests
Payment Method

Please specify your preferred payment method for event.
How would you prefer to pay?
- Credit Card
- Recharge ID
Recharge ID