Valentine’s Dinner Booking Form at Yats Restaurant

Welcome to the order form to reserve a table to celebrate Valentine’s Day this year. Each year Yats Restaurant and Wine Lounge offers its guests a romantic dining experience. Please fill in and send us the form below. You will contacted by a customer service agent who will assist you with your reservation.

We look forward to your company on Valentine’s Day this year.

Script by Dagon Design

Personal Information
* Salutation	(select) Mr. Mrs. Ms.
* Last Name
* First Name
* Other Name
* Company Name
* Postition
* Email Address
* Mobile Number
* Fax Number
* Land Line Number
Ticket Information
* Event Date 14 February 2013 15 February 2013 16 February 2013
* Choice of Valentine’s Dinner Menu Wine-Paired Valentine's Dinner 4-course Gourmet Valentine's Dinner I wish to order a la carte
* Number of tickets	(select) 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
* Mode of Payment Paypal Bank Deposit
Remarks
* Verify