LA BODEGA BOOKING FORM

1
Name* This field is required.
Mr/Mrs/Ms - (Dato/Datuk/Datin/Tan Sri)
First & Last Name
2
Contact* This field is required.Pick a date you would like to dine-in
We will call/text you back with confirmation
3
E-mail(Optional)
(optional) only fill in if you want the promotions
4
First Time Visit?* This field is required.We would like to serve you as best as we can
Yes
No
5
How many Pax?* This field is required.How big is your group?
Let us know how many people are dining in with you
6
Choose Your PromotionLimited time promotions you would like to have at La Bodega
Please Select
Please Select
None
TAPAS FIESTA - RM60 (Ends 1st Feb)
TAPAS FIESTA - RM200 (Ends 1st Feb)
7
Choose your La Bodega Outlet (KL)* This field is required.All outlets serve high quality authentic Spanish Tapas
La Bodega - Bangsar Kurau (Bangsar)
La Bodega - Empire Subang (Subang Jaya)
La Bodega - Plaza Damansara (Bukit Damansara)
La Bodega - Jalan Ampang (Ampang)
La Bodega - Ascott (Jalan Pinang)
8
DatePick a date you would like to dine-in
Date
Day
Month
Year
9
TimePick a time you would like to dine-in
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
AM
PM
10
Special RequestsSurprise Birthday, Food Preparations, Drink Preparations
Should be Empty: