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Blue Moon Restaurant 26 North Park Avenue Rockville Centre NY 11570
Telephone 516-763-4900

Customer Name: _____________________ Date of function:___________________
Time: ______________ Cell number: ____________ Home Tel: ____________________
Adults: ____________ Kids: ________________ Occasion : _______________________
Front Room: _____ Back room:_____ Main dining room:______ To be decided
*** Silver Family Style Package***
1 st course
Choose Two : House Salad, Blue Moon Salad, Caesar Salad, Cold Antipasto, Fried Calamari, Mussels Marinara, Eggplant Rollatini , Individual Size Margherita Pizza, Baked clams Add a third appetizer 5.00 more To Substitute, Hot Antipasto (Stuffed Mushrooms, Shrimp Oreganata, Baked Clams, eggplant Rollatini), add 7 .00 more person

2nd course
Choose one: Choose one: Penne Alla Vodka, Rigatoni Filleto Di Pomodoro, linguini pescatore add 5.00 person Orecchiette Broccoli Rabe Garlic and Oil, add a second pasta for 3.00 more per person Choose one: Chicken Francese, Chicken Parmigian, Chicken Marsala, sausage & peppers, chicken scarpariello (Boneless), Roasted Pork Loin Mushrooms and Spinach, Choose one: Eggplant Rollatini, Eggplant Parmigian

Includes Sides of broccoli in garlic & oil & roasted potatoes

3Rd Course:
Soda, coffee, tea, Cappuccino, Espresso, Biscotti $49.95 per person *A) House Wine & Tap Beer for 3 hours $21.95 per person
*B) House Open Bar for 3 hours $25.95 per person
*C) Premium Open bar for 3 hours (BTL Beer Included) $35.95 per person

*************** OR RUN A TAB ***************

Kids Menu under 10 $18.95 per person Choose Chicken finger, Pizza or Pasta
Today’s Date: ______________ Price Per Person:____________
Room Charge: ____________________ Tax Exempt: Yes or No
Plus Tax & Gratuity: _______ Deposit is nonrefundable:____
Customer Signature _____________________________________________

Note: In response to the shifting landscape of the restaurant industry, we will be
implementing a 4% surcharge for all customers wishing to pay with credit or debit
cards Note: Minimum of 40 adults needed for a private party room

26 North Park Avenue, Rockville Centre, NY 11570        Tel: 516-763-4900