HPK Dine-in Customer Registry

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This form is a COVID-19 Safe Plan government requirement.

 

Please fill in your details on the below form. 

Information is securely stored, not used for any other purpose, deleted after 56 days and will be made available to public health officials on request.

 

Any questions, please ask one of our team.

PLEASE COMPLETE
 

4/6 Treeview drive, Burleigh Waters

Gold Coast 4220

homeplatekitchen@gmail.com

Tel: (07)5535-5019

fresh . tasty . food .