ABURI KAISEKI FORM
Name of reservation ___________________________ Date of reservation ____________________
Time of reservation____________ No. of Guests _________
Contact name __________________________Contact number ________________________
Contact email address ______________________________________________________________
Have you dined with us before? No
Yes
How many Females in your group?
How many Males in your group?
Have you had Miku’s Aburi Kaiseki before? No
Yes
If yes, when was your reservation and what name was it under? ______________________________
Special Occasion / for whom? ___________________________________________________________
ALLERGY INFORMATION
NAME OF GUEST
ALLERGIES
PREFERENCES
(Please separate guests’ allergies with a comma respectively to the above)
Aburi Kaiseki orders require 72 hours notice. Please also allow at least 2 hours for dining. Due to the specialized nature, personalization and timing of the menu, we ask that all persons in the party participate in Aburi Kaiseki and one must be ordered per person. Office Use: Confirmation # _________________
A confirmation email and number will be sent to you within 24 hours once your request form is received. If
you do not receive an email regarding your order, please contact our Guests Services on 604-568-3900
for assistance. Any changes to this order form or cancellation needs to be made in writing to the above
email address to be processed. Please fill in your credit card information on the following page and once
completed, please send both pages to [email protected] with the subject “ABURI KAISEKI” at
your earliest convenience to ensure your request is processed before the cut-off date.
Thank you and we look forward to having you at Miku.
Credit Card Details^
Card Type
Visa
Mastercard
American Express
Credit card number
___________________________________________
Expiry date
________________
Signature of cardholder ______________________________________
Name of cardholder
______________________________________
** Please Note: there will be an18% service charge added to the final bill **
CANCELLATION POLICY
Any cancellations within the time frame provided below will incur a 40% cancellation fee per order.
1-4 party size
48hours notice
5-14 party size
7 days notice
15 guests and over
Please ask management
^ The signature above authorizes Miku Restaurant to charge this fee against the above credit card should
a cancellation of such nature occur.
A front and back copy of the card plus photo identification for any pre payments as
required by credit card companies for supporting documents to process any payment
without the physical card.
Office Use: Confirmation # _________________