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Time of Arrival: ____________

Time of Departure: ___________

Date: __________
Server: ___________

Name: ___________________ Phone: ________________


Email: ___________________ Birthday:_______________

Address:__________________________________________
City/State/Zip:______________________________________

# of People in Party: ________

Table: _______________ □ Cash


Items Ordered: ___________________ □ Credit
___________________ Last 4 # of CC ________

# of Bottles: _________

Comps: _________
SubTotal: ________
AutoGrat: ________
Add'l Grat: ________

Total Charge: ________

Notes/Order: _______________________________________
_______________________________________

Issues: ____________________________________________

(In your notes please note whether they are a return customer, the reason for their visit/occasion, their
parties dress, attitude, energy, if you up sold to them. Remember you will be writing thank you cards
to each of your customers and this will help you to personalize those cards! Always ask if they have a
business card.)