individual member form

first name:


last name:


email address:


password:


confirm password:


date of birth:


address:

postcode:

mobile phone:

how often do you dine at chantek:
Once a week Once a fortnight Once a month Once every six months


what brings you to the vicinity of the restaurant?
Work Live Visitor
are you aware that chantek has a seasonal menu?

yes no

do you like to try new dishes from our seasonal menu?

yes no Didn't know you had one
are you aware of chantek’s environmental stance?

yes no

does chantek’s environmental stance / food sourcing policy influence your menu choices?

very much so a little not much not at all

what is your least favourite thing about chantek?



what is your most favourite thing about chantek?



what would make you use us more often?