Booking Form – Silk Route Indian Restaurant | Preston Lancs

Call: 01772 378998

EAT OUT HELP OUT CONTINUES

Opening Hours

Mon – Wed
5:00 pm – 10:30 pm
Thursday
5:00 pm – 11:00 pm
Fri – Sat
5:00 pm – 11:30 pm

Sunday Hours

13:00 pm – 10:30 pm

YOUR Name (1st Diner) *

First

Last

Email (to confirm booking) *

Email

Confirm Email

YOUR Address *

Address Line 1

City

State / Province / Region

Postal Code

BEST Mobile Number *

We can only CONFIRM reservations by text. Please ensure your number is correct. Thank you.

YOUR Age Group

17 and Under
18 to 35
36 to 55
55 and Over

Which Day? *

Which Date? *

Which Month? *

What time would you like to join us? *

Number of Diners *

Under limited circumstances we may be able to facilitate a larger group than the current legal limit of 6. We will call you to discuss.

Diet Restrictions *

None
Vegetarian
Vegan
Gluten-Free
Dairy-Free
Nut-Free

Any other dietary requirements?

Does anyone require special access/assistance?

No
Wheelchair Access
Impaired Vision
Impaired Hearing

Childrens Hi-Chair Required

0
1
2
3
3+

How many children aged under 16 yrs?

0
1
2
3
3+

Have you read the COVID-19 RULES page?

Yes
No
Will do before visit

Additional Information / Requests

Name of 2nd Diner

First

Last

Age Group (2nd Diner) *

17 and Under
18 to 35
36 to 55
55 and Over

Address (2nd Diner)

Address Line 1

City

State / Province / Region

Postal Code

Names and Addresses of ALL diners are required for your protection, as part of the TRACK & TRACE

Name of 3rd Diner

First

Last

Age Group (3rd Diner)

17 and Under
18 to 35
36 to 55
55 and Over

Address (3rd Diner)

Address Line 1

City

State / Province / Region

Postal Code

Names and Addresses of ALL diners are required for your protection, as part of the TRACK & TRACE

Name of 4th Diner

First

Last

Age Group (4th Diner)

17 and Under
18 to 35
36 to 55
55 and Over

Address (4th Diner)

Address Line 1

City

State / Province / Region

Postal Code

Names and Addresses of ALL diners are required for your protection, as part of the TRACK & TRACE

Name of 5th Diner

First

Last

Age Group (5th Diner)

17 and Under
18 to 35
36 to 55
55 and Over

Address (5th Diner)

Address Line 1

City

State / Province / Region

Postal Code

Names and Addresses of ALL diners are required for your protection, as part of the TRACK & TRACE

Name of 6th Diner

First

Last

Age Group (6th Diner)

17 and Under
18 to 35
36 to 55
55 and Over

Address (6th Diner)

Address Line 1

City

State / Province / Region

Postal Code

Names and Addresses of ALL diners are required for your protection, as part of the TRACK & TRACE

GDPR Agreement (Data Protection) *

I consent to having this website store my submitted information so they can conform to COVID-19 Rules and keep me informed as to any relevant information.

Pre-Payment

Price: £ 10.00

This payment will be deducted from your final dining account. Please Note: If you prefer you may wish to pay by card when we call you to confirm your booking. Thank you.

£ 0.00

£10 Non-Refundable Card Payment *

Card

Name on Card

Comment

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