Name

Email Address

Phone Number

Where do you want (Please choose one of our shops) -- Where do you want (Please choose one of our shops) --CHIMAC, Shop1, 39-47 Peel St. West Melbourne.CHIMAC+, 345 Victoria St. Abbotsford.

Event Date -- Event Date --12345678910111213141516171819202122232425262728293031

Event Month -- Event Month --Jan.Feb.MarchAprilMayJuneJulyAug.Sept.Oct.Nov.Dec.

Year -- Year --20192020

Start Time -- Start Time --6:00pm6:30pm7:00pm7:30pm8:00pm8:30pm

Is there any additional information you would like to tell us? (e.g., Birthday Party or Surprising Dinner)