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Black Stallion Wine Dinner featuring winemaker Rolf Holdenried
Dining · Spirits · Sports
2700 West Anderson Lane, Suite 202 Austin, Texas 78757 Phone 512.374.1121 Fax 512.374.0110
DATE: ___________________
CLIENT INFO: Name: ______________________________
BILLING ADDRESS: ______________________________________
Phone: ______________________________
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Email: _______________________________
CREDIT CARD INFORMATION: Name on Card: ____________________________________________________ Credit Card Type: __________________________________________________ Credit Card Number: ________________________________________________ Expiration Date: ____________________________________________________ Authorized Signature: _______________________________________________
Date of Event Thursday, April 21st, 2016 6:30pm in the Private Dining Room at COVER 3 Anderson
EVENT
Black Stallion Wine Dinner Featuring winemaker Rolf Holdenried
Please note: Tickets are non-refundable.
# of TICKETS
TOTAL CHARGES
_______ x $80 ea =
$_________
BALANCE DUE
$_________