Organizer’s Name: _____________________________________ Event Day/Date/Time _________________________
Anticipated Guest Count: ________ # of Children incl in Count ______ Guaranteed Minimum Guest Count __________
Occasion:__________________________ Guest of Honor's Name ______________________________
Phone #: _______________________________ Email: __________________________________________
Deposit Payment Type: ____________________
Credit Card Payments (Complete only if deposit was not provided by phone)
Cardholder’s Name as it appears on card: _____________________________________________________
Type of Card(Visa, MC, AMEX, Discover) ____________________________
Credit Card #: ____________________________________________ Exp. Date: _______________________
Checks may be made payable to Barone’s Tuscan Grill and sent to the following address:
280 Young Ave.
Moorestown NJ 08057
Attn: Erin Barone
I have read and understand the conditions outlined in the Banquet Agreement and agree to comply with the stated conditions.
Print Name: __________________________ Signature: ________________________ Date: _____________