Private Dining ReservationPlease enable JavaScript in your browser to complete this form.Checkboxes *By checking this box you agree you have read and agree to the Terms and Conditions below:This is only a request for reservation, a member of our management staff will contact you via phone so that you may provide a credit card to secure the reservation. You will receive an email stating the confirmation. Until confirmation this is only a request. Your credit card will not be charged, Actual payment is due day of event.Point of Contact *FirstLastEmail *EmailConfirm EmailPhone *Company Name *AddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEvent Type *Anniversary PartyBirthdayBusiness DinnerLuncheonPrivate CelebrationRehearsal DinnerShower Baby/BridalWedding DinnerOther (Please fill in below)Event Type - Other *Anticipated number of guests. *Room Requested (please select all that apply) *La ScalaLa Scala ALa Scala BIsolaBafiaTerrazzaIL GiardinoBocce Court Reception and/or Cocktail PartyPlay Bocce1st FloorClosed Private Dinner RequestOtherRoom Requested Other *Checkboxes (copy) (copy) *By checking this box you agree you have read and agree to the Terms and Conditions below:In the event of a reduction in the final number of persons attending after confirmation, The Restaurant reserves the right to choose an alternative private location within the restaurant to accommodate your party. Event Date & Start Time *DateTimeHow long do you plan your event to last?Checkboxes (copy) *By checking this box you agree you have read and agree to the Cancellation Terms below:Cancellation Terms: The following fees will apply upon notification of cancellation: A La Carte / Pre Set Lunch/Dinner 48 hours before: No charge 24 hours before: $250.00 net 50% of the Anticipated number on this form. No Show: $350.00 net Full amount of the anticipated numberNameSubmit