Chopstix - A Dueling Piano Bar

Request for Information

This form is for parties 21 or larger. For reservations, parties 20 and under please contact the restaurant.

Fields marked with a * are required.

First Name*:

Last Name*:

Email*:

Phone*:

Fax:

Company:

Type of Event*:

Party Date*:

Party Time*:

Number of Guests*:

Player Requests:

YesNo

Buffet:

YesNo

Comments:

Your information is private and we respect that. This will not be shared or used for any other purpose.