Event Reservation Form

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Event Reservation Form

To make reservations, please send an e-mail to info@singlegourmetdfw.com. Please list the events you wish to attend and be sure to include your first and last name. If your credit/debit card is not on file (or if you wish to change the existing card), please fax the completed form below to 972-250-1840.

Member Information
Full Name:	________________________________________________________________

Venue	Date	Price	Dress Code	Amount
May 2008
Blue Mesa - cooking class	Sat. May 3	$69/members and guests	Casual	$
Parigi - dinner Dinner must be ordered with your reservation FIRST -- SOUP -- ROLL -- SALAD SECOND -- SALMON -- SEAFOOD PASTA -- BEEF THIRD -- TRIO -- CHOCOLATE	Thurs. May 15	$79/members and $89/guests	Dressy casual	$
Pacific Rim - dinner	Mon. May 19	$69/members and guests	Casual	$
			TOTAL:	$_________

Credit/Debit Card Information

Card Type: ___Visa ___MasterCard ___Discover ___AMEX
Card # _________________________________________________ Please use dashes between numbers.	____ / ____ Exp Date MM / YY	_______ Card ID Number
Where is my Card ID Number? *Required for AMEX, Visa, MC and Discover.


Complete this section ONLY when bringing guests:
• Name of Guest(s):	_______________________________________ Gender : ___Male ___Female
• Guest(s) e-mail:	___________________________ Age Group:__30-39 ___40-49 __50-59 __60-69
• Guest Telephone:	___________________________________________
• Marital status:	___________________________________________
• Occupation: (if employed)	___________________________________________
• Three hobbies/ interests	_______________________________________________________________