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Brix 33 Private Dining Room Request
8351 FL-54 Unit 109, New Port Richey, Fl 34655, 727-835-7912,
events@brix33.com
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Email
*
Your email
Name ( First and Last )
*
Your answer
Organization or Business Name
Your answer
Email
*
Your answer
Phone Number
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Your answer
Preferred Date Of Event
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MM
/
DD
/
YYYY
Alternate Date If The Date You Request Is Unavailable
MM
/
DD
/
YYYY
Event Time Preference
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Time
:
AM
PM
How Many Guests?
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Your answer
What Type Of Event Are You Planning?
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Corporate Event ( Ex. Corporate Function, Financial Planning, Business Dinner Meeting )
Pharmaceutical Event ( Ex. Medical or Pharmaceutical Presentation Dinner )
Family Celebration ( Ex. Graduation, Christening, Baptism, Anniversary, Engagement )
Wedding Party ( Ex. Small Wedding Reception, Rehearsal Dinner )
Birthday Party
Mixer ( Ex. Meet & Greet, Cocktails and Appetizers Only )
Other:
Please Describe Your Event In More Detail
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Your answer
Will You Need A/V Equipment?
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Yes
No
How Will The Bill Be Paid?
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One Check
Multiple Checks
We are delighted that you want to plan a special occasion at Brix 33. Thank you for giving us an understanding of the event you would like to reserve our private dining room for. We will review the details you provided and contact/email you very soon.
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