CHICKIE'S LUNCH AT THE BOULEVARD

Name *
E-mail Address *
PHONE NUMBER *
FAX NUMBER
	DAY PARTIES MUST BEGIN BY 2:30
START TIME REQUESTED *
DATE REQUESTED *
DAY OF WEEK
NUMBER OF PERSONS ATTENDING *
REASON FOR PARTY
LUNCH PACKAGE SELECTION *	UNDECIDED CHICKIES LUNCH - $17/person CHICKIES LUNCH W/MUSSELS - $22/person
	I WOULD LIKE TO ADD DOMESTIC DRAFT BEER FOR $5/person
ADDITIONAL INFO OR ADD-ON'S

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OUR BACK DINING ROOM MAY BE REQUESTED FOR

CERTAIN DAYTIME PARTIES - SUBJECT TO AVAILABILITY

FOR MORE INFORMATION OR TO BOOK BY PHONE

PLEASE CONTACT (215) 856-9890