Please fill out and fax this form to 519-471-7573

or call 519-471-7570 to make your dining arrangements.

Please provide the following contact information:

Name
Organization
Phone
FAX
E-mail
Guests:	(number)
Date:	dd/mm/yy
Arrival:	HR:MIN am/pm

Seating preference:

Main Dining Room (all table seating) Solarium (all booth seating) Windows (Booth Seating) Bar