ON-LINE RESERVATION FORM

Name of Party or Department:
Membership Number:
Phone Number:		(use format xxx-xxx-xxxx)
E-mail:		(Use format name@service.com)
Room Requested:		Choose one Tavern Main Dining Room
Date:		(use format mm/dd/yyyy)
Time:		Choose one 11:30 a.m. 11:45 a.m. 12 noon 12:15 p.m. 12:30 p.m. 12:45 p.m. 1:00 p.m. 1:15 p.m. 5:00 p.m. 5:15 p.m. 5:30 p.m. 5:45 p.m. 6:00 p.m. 6:15 p.m. 6:30 p.m. 6:45 p.m. 7:00 p.m. 7:15 p.m. 7:30 p.m. 7:45 p.m.
Number in Party:
Are There Any Special Requests?