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HIBACHI4WORLD Billing Form
Hibachi4World Logo HIBACHI4WORLD
17 Page Ave, Staten Island, NY 10309
(718) 314-2318
info@hibachi4world.com
www.hibachi4world.com
Ref ID:

Billing / Booking Details

When:
Name:
Phone:
Address:
Number of Adult:
Number of Kids:
Total Guests:

Billing Items

ItemDescriptionTotal ($)
Adult
Kid
Upgrade
Special
Appetizer
Side
Sushi
Soda
Travel Fee
Promotion Code:
Discount:
Subtotal: $0
Deposit: $
Total: $0

(Cash only, tip not included. Suggested tip: 20%, 25%, or 30%.)

Any Food Allergies?

Remark

Tip Suggestions

RateTip ($)Total ($)
20%00
25%00
30%00