Reservation Make a reservation Information is missing The form isn't filled in completely. Portugália Tasca Amount of people * Amount of people (Max 6) * 1 2 3 4 5 6 Date * Time * Time * Your Data Date Name * Phone number * Email * Does your reservation consist of one household? * Yes No Have you had any of the following complaints in the past 24 hours? Cold, cough, fever and / or shortness of breath. * Yes No Do you have a housemate with a fever or shortness of breath? * Yes No Have you had the new corona virus and has this been diagnosed in a lab in the past 7 days? * Yes No In the past 14 days, have you been in contact with someone who has corona? * Yes No Bent u nu in quarantaine vanwege direct contact? * Yes No [site_spam_check] [site_spam_check] Send