Portofino Restaurant

88 Route 37   New Fairfield, Connecticut   203-746-3604

   Information Request Form

   


Please provide the following contact information:

Name             
Address

City, State, Zip

Work Phone
Home Phone
E-mail

Please choose the type of event you are having:

WEDDING
BAR/BAT MITZVAH
CORPORATE EVENT
RETIREMENT PARTY
CHRISTENING
      OTHER (PLEASE EXPLAIN)   

Please enter the date of the event


Please enter the time of the event


Please enter the approximate number of guests


When is the best time to contact you?

Morning
Afternoon
Evening

 

What is the best way to contact you?

Phone
E-Mail
Fax