Make a Reservation

Please fill in the form below to send us your booking request.
(Fields marked * are mandatory.)

<% 'Check if the stored session text - session("checktext") is the same as the ' text which has client entered - request("imagecheck"). if len(request("_imagecheck"))>0 and ucase("" & request("_imagecheck")) = ucase("" & session("CAPTCHA")) then session("CAPTCHA")="" strMsg = "" %> <% else 'Create a random text and store the text to session. ' Image-Check.asp will show the text in a captcha image strMsg = "" if session("CAPTCHA")<>"" and request("First_Name")<>"" then strMsg = " Entered Code doesn't match. Please try again." end if %>
Title
:
First Name
:
" >   *
Last Name
:
" >   *
E-mail Address
:
" >   *
Company / Organisation
:
">  
Mobile No
:
">   *

Reservation for
:
Raaga Bar & Kitchen
Cafe Marina
Date
:
">   *
Time
:
">   *
Number of Persons
:
">
Any Special Request
:
Verification Code
:
 
<%=response.write(strMsg)%>
 
 
<%end if%>