cheque in Mail

To be placed on the Evening of Scotch Mist Oct 01 2010 waiting list please fill out the form below.

The form may be printed after clicking the submit button below
A reply email will be sent to you to confirm this order
We will contact you in June 2010 for payment by cheque and we will mail the tickets to you.
(we reserve the right to cancel the reservation if, for example, we are sold out.)
Contact email: lees7724@rogers.com

# of tickets reqd:
1 ($85.00)
2 ($170.00)
3 ($255.00)
4 ($340.00)
Table for 8 ($680.00)
first and last name
address: # St name,city,pcode
your email:
your phone number
No of guests preferring wine