First Name
Last Name
Email
Phone
Number of People
Date
Preferred Time
Select Time
5:00
5:15
5:30
5:45
6:00
7:15
7:30
7:45
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
Preferred Seat
Table
Bar
No Preference
Special Instructions
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