Remember to sign up to our BIRTHDAY CLUB and receive exclusive specials!!!

  Feedback Form:
There will be a monthly drawing of these comments cards to win Gift Certificates.
TABLE #:
WAITER:
BIRTHDAY - MONTH/DAY:* /
BIRTHDAY SPOUSE - MONTH/DAY: /
ANNIVERSARY – MONTH/DAY: /
FIRST NAME:*
LAST NAME:*
E-MAIL:*
ADDRESS:*
CITY:*
STATE:*
ZIP:*
PHONE NUMBER:*
FAX NUMBER:
What is your favorite meal?:
What could we do better?:
What did you like most?:
Would you mind if we used your name and comments in out marketing literature?
This information is used safely by Glatt Ala Carte and will not be shared or sold to anyone.
*
Yes, I mind No, I don't mind
Security Code:

 
Comments:
 
 
© 2010 GlattALaCarte.com | Web Design & Development: ComputersPlusPlus.com