Reservation

Name	Surname
email	telephone
reservation date	reservation time
day ---------------- 12345678910111213141516171819202122232425262728293031 month -------------------- 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December
Specification
Smoking area Nosmoking area Lunch Dinner	Drink B'day Office party
notes
I would like to be informed about the news and updates in actual offer Due to this service you will be informed about the actual offer in our restaurant, which will be sent you on the email you set forth above.
Re-write :
I accept the conditions and I agree with additional data processing.