Food Dance

Privacy policy Thank you for considering Food Dance for your event. Please fill out and submit this form, and a Food Dance staff member will contact you to confirm dates and details. NOTE:This form is for private event scheduling, so please DO NOT make Breakfast, Lunch or Dinner reservations using this form. If you'd like to reserve a table for Breakfast, Lunch or Dinner, please call 269-382-1888, and press 3.

Your first name:
Name on the reservation.(if different)


How do you prefer to be contacted? Telephone Email No preference
	Your Email Address:
Telephone numbers:		Other contacts:
Phone 1		Name
Phone 2		Relation
cell:		Phone


Event date:
How many guests will be attending?
The room will be occupied from: To:
What type of event will this be? Or tell us here (Other Event):
Any special needs? Other:
	Special instructions: