Wusong Road Tiki Bar Private Event Form Name of your Event * IF you have a logo for your event, please email a copy to events@wusongroad.com Date of your Event * MM DD YYYY Select your Food Package * Please select your food package, please note we do not offer lunch or brunch food packages for dinner. Weekend Brunch Weekday Luncheon Sunday- Wednesday Dinner Thursday- Saturday Dinner Sunday- Thursday Cocktail Happy Hour Monday-Tuesday First Floor Buyout Special Room Fee Agreement * By checking this box, I understand and am agreeing to the additional room fees associated with my event, Room Fee Waiver: fee can be waived pending timing and seasonal restrictions at the discretion of Wusong management and events coordinator I agree for Jade Room Room Fee of $150 I agree for first floor partial buyout room fee of $1,020 I agree for first floor full buyout room fee of $1972 I agree for second floor full buyout room fee of $2720 I agree for full restaurant buyout room fee of $6120 Select your Beverage Package * Please select your beverage package, please note we do not offer lunch/brunch packages for dinner. (1) beverage ticket per guest (2) beverage tickets per guest No Beverage Package for events before 5 pm $16 per guest budget $32 per guest budget $12 per guest lunch/brunch non-alcoholic budget Beverage Fountain Only After your Beverage Package, would you like to transition to an open bar (all drinks go on your event's bill) or a cash bar for your guests? * Open bar, no top shelf Open bar, top shelf included Cash bar Event Contact Name * Name of contact during the event First Name Last Name Event Contact Phone Number * Phone number of the person who will be the contact during the event (###) ### #### Email * Food Selection 1 * All food are replenished as requested for the first hour and thirty minutes of your event. (v) vegetarian, (v+) vegan, (gf) gluten free Summer Rolls- Vegetables (v+) (gf) Summer Rolls- Smoked Cha Siu Pork (gf) Summer Rolls- Shrimp (gf) Cucumber Salad (v+) (gf) Pok Pok Salad- Shrimp (gf) Pok Pok Salad- Cha Siu Pork (gf) Pok Pok Salad- Chicken Satay (gf) Pok Pok Sald- Vegan (gf) (v+) Food Selection 2 * Uncle Quan's Fried Rice- Chicharrones & Roasted Cha Siu Pork (gf) Uncle Quan's Fried Rice- Gulf Shrimp and Prawn (gf) Uncle Quan's Fried Rice- Vegetarian w/ Egg (gf) Uncle Quan's Fried Rice- Vegan (gf) Sambal Spiced Fries (gf) (v+) Food Selection 3 * Vegetable Tempura (gf, v+) Sweet Chili Brussels (gf, v+) Ginger Scallion Bok Choy (gf, v+) Blistered Edamame (gf, v+) Grilled Broccoli Teriyaki (gf, v+) Food Selection 4 * Crab Rangoons Grill Street Corn Rangoons (v) Scallion Pancake Quesadilla (v) Maple Pork 'Peking Ravioli' Lemongrass Lotus Dumplings (v+) Tom Yum Wings (gf) Vegetable Spring Rolls (v+) Saugus Wings (gf) Food Selection 5 * Szechuan Katsu Chicken Bao Smoked Pork Belly Bao w/ Cha Siu Sauce Tender Foods Vegan 'Chicken' Bao (v+) Aloo Tiki Bao w/ Tamarind Chutney (v+) Aloha Sliders Coconut Spareribs (gf) Firecracker Shrimp (gf) Don't Call It DanDan Shortrib 'Sambal Ijo' Noodles Nightmarket Fried Chicken (gf) Optional Additional Dish Add On ($8.88 per guest per dish) please write in any additional selections below Optional Beverage Fountain Served in large dramatic two tier fountain - minimum guest count of 40 people, priced per guest. +15.00 Wusong Mai Tai +12.00 Scorpion Bowl +15.00 Love Meow Long Time +13.00 Saturn Optional Event Extension priced per hour +$450 Jade Room + $1750 Partial 1st Floor Buyout + 1500 1st Floor Buyout Optional Dessert Package Add On priced at additional $6.88 per guest, please allow at minimum one week advance notice for all desserts Tropical Cheesecake (v) Coconut Bread Pudding (v) Mango and Coconut Rice Pudding (v+) Would you like to bring your own cake? Yes, bring my own cake (has a cake-cutting fee of $2.50 per person) No Tax Exempt Status Please enter your Tax Exempt number here and please email a digital copy to events@wusongroad.com Is everyone at your event over the age of 21? * NO, we have guests under 21 years of age YES, all guests are over 21 years of age Harvard or MIT Student or Faculty Event If this is a Harvard or MIT faculty or Student organization event please let us know. Student Organization or Faculty events finishing before 5:00 PM are given a 15% discount N/A We are NOT a Faculty Event or Student Organization We ARE a Faculty Event or Student Organization Allergies - Dietary Restrictions Please list any allergies, dietary restrictions or other food notes we should be aware of. Thank you for placing your order, please note that some menu items may change with availability or seasonality.Please let your server know if you have any dietary restrictions or allergies in your party.
