Have a Party

Reserved Table(s) for You and Your Guests. Cake Table, and Gift Table Available upon Request. Complimentary Champagne for 21+, and/or Sparkling Cider for 18+, will be given to you in appreciation of your patronage

JEWEL'S CATCH ONE PARTY REQUEST FORM

We can accommodate you with a free party Sunday. A $50.00 fee is required for Saturday parties, to be paid before the date of your event. The $50.00 fee only applies to regular club nights and hours. This fee does not apply to special events. We require you to treat this submission as a business document, and submit it with your first and last real name, and the first and last real names of your guests as it appears on your ID and the ID of your guests. Full real names are required for the purpose of identity and birthdate. No exceptons will be made.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Date of Celebration:
Day of Celebration:
	Apple Cider
	Champagne
	Combination (20 or more guests)
	Cake Table
	Gift Table
Guest List: (MUST BE 18 OR OVER)	Enter comments here!