Event & Catering Request — Northshore Brasserie

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Event Date

MM

DD

YYYY

Event Duration

Event Location

Estimated Number of Guests

Kind of Service

Estimated Budget Per Guest

Description of Event or Food Desired