Private Dining Inquiry — 112 Eatery

Private Dining Request Form

Please complete the form with as much information as possible. We’ll get back to you soon.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Event

MM

DD

YYYY

Time

Number of Guests

Notes/Special Requests

How did you find us?

Have you used 112 before for special events?