Jax Place Party Request Form

Jax Place

Party Request Form

Please enter the following information

Party & Contact Information

Name :

Email :

Phone # :

Date of Party :

Type of Party :

# Expected :

What type(s), if any, menu are you interested in ?
Off The Menu
Buffet Style
Sit Down Dinner
Catered
Food not required

Would you like information on any other service(s), such as ..
Cakes
Decorations
DJ
KJ
Other, (use box below)

Additional Comments :

Note : This is only a request form. This does not guarantee your reservation. We must check our calendar to ensure that the date/time of your event is available to accommodate you and your guests. We will contact you as soon as possible to discuss and hopefully confirm your request.

Please feel free to contact us at (757) 227-3210 if you have any further questions. Thank you.