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©2008 Maria's Italian Kitchen

 

 

 

Name:

City

State

Zip Code

Phone

Birthday

 (For our Birthday Club!)

Email Address
(We must have your e-mail address as birthday gift will be sent by e-mail only.)

Restaurant Location

Please keep me informed about:
Food Wine Catering
Special Events Holidays Desserts
Take-Out Delivery Gifts

How did you hear about us?
  If "Other", please describe:

How many times do you eat at Maria's Italian Kitchen during the month?

When did you eat?
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Friendliness of Staff

Quality of Service

Quality of Food

Timeliness of Food and Beverages

Value for the Money

Cleanliness

Please enter any comments, suggestions or questions you may have for us.

You need only to register once for the Birthday Club.
Please allow 6-8 weeks for processing.