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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: ________________________________________________________________

Fall Events
  Venue Date Price Dress Code Amount
  February 2008        
  The Capital Grille Sun. Feb. 10

$94/members

$99/guests

 Dressy casual $
  Roy's Wed. Feb. 20

$74/members AND

guests

 Dressy casual $
 

York Street

ENTREE MUST BE PREORDERED WITH RESERVATION

Sun. Feb. 24

$129/members

and guests

FISH_______

DUCK______

 Dressy 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

 _______________________________________________________________
  We seat people by age group and common interests (based on who signs up for that particular event) and do not seat members with their guests. However, if the guest is painfully shy or scared to attend (it happens!), we can seat your guest at the same table as you. If your guest joins, we will add two months to your membership for every female referral and four months for every male. The referral policy is not meant as discriminatory; it's meant to help increase the male/female ratio.