Comments Comments Contact Us Contact Form Demo (#1)ΔFirst NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodePhone NumberEmailWhich location did you visit? Costa Mesa Huntington Beach Lakewood Long Beach Seal Beach TorranceDate of orderTime of day you visited Charo Chicken Lunch DinnerOrder type Dine-in Take-out Delivery Online DeliveryIf Online, which service?CommentsSubmit Form
