Origins:Amazonia Dinner Series Reservation Form
Make your reservation for O:A, deposit required
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Dinner Deposit
$
15.00
- Price: $65, tax and gratuity not included- Dinner with complimentary welcome cocktail (Non-Alcoholic cocktail available). - $15 Deposit is non-refundable.- Changes may be made to reservation depending on availability.
Quantity
1
2
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5
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9
10
Dinner & Drinks Deposit
$
20.00
- Price: $85, tax and gratuity not included- Dinners with Cocktail, Wine & Beer Pairings- Deposits are non-refundable. - Changes may be made to reservation depending on availability.
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Preferred Date 1:
*
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Day
-
Month
Year
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Preferred Date 2:
-
Day
-
Month
Year
Dates Available: 12/14, 12/13, 12/21, 12/22, 12/28, 12/29
Preferred Date 3:
-
Day
-
Month
Year
Dates Available: 12/14, 12/13, 12/21, 12/22, 12/28, 12/29
Special Dietary Request?
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
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