Restaurant Reservation RequestInstructions Please complete the form below and we'll contact you by phone or email to confirm your booking (subject to availability). Thank you! Name * First Last Your email *email address Date *Date you require reservation Time *Time you require reservation for010203040506070809101112HH000510152025303540455055MMAMPMAM/PM How many people are you booking for? *How many people do you require a table or tables for? Phone *Your Phone number (with area code) for confirmation Privacy Statement and Consent *PRIVACY: By completing this form and checking the box you CONSENT to sending this information to the Western Hotel & Restaurant to request a restaurant booking. Your information will not be shared, or used, for any other purpose. Please see our GDPR and Privacy Statement I agree
