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6/12/18 Member Dining Reservations
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* Indicates required question
Member's Name(s)
*
Your answer
Total number of people dining:
*
Choose
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10
Would you like to pre-order any appetizers?
*
Hallelujah Grits
Ahi Tuna Bites
Fried Green Beans
Gourmet Cheese Tray
Shrimp Cocktail
Fried Calamari
None
Required
Total number of guests that would like the Crab Meat Stuffed Chicken
Choose
NONE
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10
Total number of guests that would like the Salmon
Choose
NONE
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10
Total number of guests that would like Filet Mignon
Choose
NONE
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10
Total number of guests that would like Ribeye Dinner
Choose
NONE
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10
Total number of guests that would like Pork Chop
Choose
NONE
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10
CHILDCARE AVAILABLE THIS WEEK:
Will you be utilizing our childcare services? If so, how many children?
Choose
NO
1
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4
If your child will be dining with us, please choose from the options below:
Total number of guests that would like Child's Chicken Tenders
Choose
NONE
1
2
3
4
5
Total number of guests that would like Child's Spaghetti
Choose
1
2
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4
5
Total number of guests that would like Child's Cheese Quesadilla
Choose
1
2
3
4
5
Additional information:
Are there any special requests, substitutions or additional information we need to know?
Your answer
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