Black Stallion Wine Dinner

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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

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CLIENT INFO: Name: ______________________________

BILLING ADDRESS: ______________________________________

Phone: ______________________________

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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

$_________