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 $2,000 room if my event is on Thursday-Saturday between 6 and 10 pm for a full buyout of the first floor tiki bar or an additional $1,000 for partial buyouts of the first floor tiki bar on Thursday-Saturdays between 6 and 10 pm (does not apply to Jade Room events) I agree for first floor full buyout fee of $2,000 I agree for first floor partial buyout room fee of $1,000 My event does not fall inside those parameters Select your Beverage Package * Please select your beverage package, please note we do not offer lunch, brunch, or coffee packages for dinner. (1) beverage ticket per guest (2) beverage tickets per guest (1) lunch beverage ticket per guest (1) brunch beverage ticket per guest No Beverage Package for events before 5 pm $16 per guest budget $32 per guest budget Beverage Fountain Only Highball Beverage Station 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 Fried Rice - Chicharrones & Cha Siu Pork (gf) Fried Rice - Shrimp and Prawn (gf) House Fried Rice- Vegetarian w/ Egg (v) (gf) Fried Rice- Vegan (v+) (gf) Summer Rolls- Vegetables (v+) (gf) Summer Rolls- Smoked Cha Siu Pork (gf) Summer Rolls- Prawn (gf) Cucumber Salad (v+) (gf) Pok Pok Prawn Salad (gf) Food Selection 2 * Cucumber Salad (v+) (gf) Ginger Scallion Bok Choy (v+) (gf) Sambal Spiced Fries (v+) Cauliflower Kung Pao (v+) Pok Pok Prawn Salad (gf) Sweet Chili Brussels (gf) (v+) Food Selection 3 * Sambal Spiced Fries (v+) Maple Pork 'Peking Ravioli' Lemongrass Lotus Dumplings (v+) Crab Rangoons Firecracker Shrimp (gf) Coconut Husk Smoked Spareribs (gf) Don't Call It DanDan Food Selection 4 * Don't Call It DanDan Coconut Husk Smoked Spareribs (gf) Beef 'Sambal Ijo' Noodles Crab Rangoons Firecracker Shrimp (gf) Golden Chicken Fingers Food Selection 5 * General Tso's Chicken Bao Smoked Cha Siu Pork Belly Bao Tender Foods Vegan 'Chicken' Bao (v+) Aloha Sliders Beef 'Sambal Ijo' Noodles Golden Chicken Fingers 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 by the hour +$550 Jade Room (Sun- Weds) + $750 Partial 1st Floor Buyout (Sun-Weds) + 1550 1st Floor Buyout (Sun- Weds) $800 Jade Room (Thurs- Sat) $1,120 Partial 1st Floor Buyout (Thurs-Sat) $1,800 1st Floor Buyout (Thurs-Sat) 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.
