Southern Kitchen Restaurant - Event Request

Event Request

Please Note: Only complete if you party size is 17 guest or more!

To enter an Event Request, please fill out the following form.

Your Contact Information

First Name

Last Name

Email Address

Phone Number

Phone number extension

Company

Your Event Details

Nature of this Event (e.g., Birthday Party or Business Dinner)

Event Date

Start Time

End Time

Number of People

Is there any additional information you would like to add?

How did you hear about us?

Please specify

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