MY TREAT!

Name of Guest:
Onsite Contact:
Phone Number
Email Address:

INDICATE ON THE RESERVATION THERE IS A TREAT FOR DINNER FORM

Name on Reservation

Date and Time of Dining

How Much of the Check would you like to take care of?

Would you like to leave Gratuity to the Server?

If you would like to only leave a portion, what portion?





  Name on the Credit Card?

Type of Card? (Visa/Mastercard/American Express)

Credit Card Number:

Credit Card Expiration:

Credit Card Security Code:

Processed By:

Printed Name:

  Signature


    Date