Happy Teriyaki #3 Catering Request Form

Your Party Size? *
10-15 People
15-20 People
20-25 People
Choose Your Rice and Vegetable. *
Steam Rice
Stir-Fried Vegetable
Fried Rice
Salad
Choose Your Entrees and Sides *
Teriyaki Chicken
Hot Chicken
Teriyaki Beef
Yakisoba
Yaki Udon
Gyoza
Eggroll
Vegetable Spring Roll
Name *
First Last
Address *

Street Address City State / Province / Region Postal / Zip Code Country
Email *
Phone *
- -
Fax
- -
Date Time *
MM / DD / YYYY HH : MM AM/PM
Special Request