Reservation Form

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To place a reservation at Esmirada please fill in this form.

Please give us 2 days in advance for bookings via the net.
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Mr.  Mrs.  Ms.
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Name
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Surname
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Company
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Telephone
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Email address
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Is this your first time at Esmirada?  Yes  No
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Date for your reservation for      
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Time you want for your reservation   
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Number of Persons
(For large group, please call (65) 63363684 for reservation.)


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We always have promotions and specials coming up,
would you like to be updated by e-mail?  Yes  No
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Please include special requests or comments below.
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