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Frederick's
Restaurant
7701 Broadway, Suite 20
San Antonio, TX 78209
210-828-9050
Fax: 210-828-9068
Frederick's Group
Booking Form
Print this form, fill it out and fax it back to us
at Frederick's. We look forward to working with you!
Contact Name:
_____________________________________________________________
Organization:
______________________________________________________________
Address:
________________________________________________________________________
City: ________________________________
State: _____ Zip: _________________
Phone: ________________________
Email Address: _____________________________
Fax: ___________________________
Group Dining Date: ___________________
Time of Reservation Desired: _________________
Credit Card Type: ________________
Card Number: _________________________________
Visa/Mastercard/American Express, etc
Expiration Date: ______________________
Group Needs (describe your special event needs here)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Fax this form to us at:
210-828-9068
Thanks! Frederick.
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