Name: Tellers Prepay
SKU: pre-tellers
Availability: InStock

Your Information

First Name *

Last Name *

Phone Number *

Recipient’s Reservation Information

Please make sure the reservation already exists in our system and the information is accurate so we are able to match your form to the correct party. Feel free to call the restaurant if you have any questions.

First Name *

Last Name *

Number in Party *

Date (mm/dd/yyyy) *

Time (hh:mm am/pm) *

Prepay For *

Entire Bill

Dessert

Round of Drinks

Champagne/Wine

Fixed Amount

Special Requests

When To Inform the Guests *

When Specified Item is Served

Before the Meal

After the Meal (In Lieu of Check)

Other

When To Inform the Guests

Other

Prepay Base Allowance

The Prepay Base Allowance is the amount you would like to spend on food and/or beverage for this reservation. A 20% gratuity and local state sales tax will be applied on top of your Prepay Base Allowance. These fees will be outlined in the shopping cart and at checkout to provide you with an estimated total charge but your card will not be charged the final amount until after the reservation occurs.* If you would like to change the gratuity amount, please call the restaurant after completing this order.

Base Allowance Amount *

Terms of Service *

The actual amount charged to your credit card will be different than your Prepay Base Allowance but will not exceed the total authorized amount of Base Allowance plus gratuity and sales tax. After goods and services have been delivered on the date of the reservation, we will charge your card for the final amount spent on the following business day. That final amount will include the cost of ordered items plus a 20% gratuity and local state sales tax. Should the designated amount not cover the entire bill, the guest will be responsible for covering the remaining balance.

You must call the restaurant after filling out this form to confirm receipt. This is especially sensitive for those submitted within 24 hours of the reservation time. This form must be submitted before the reservation start time.

*Although your card will not be charged until after the reservation date, a pending authorization will appear on your credit card statement in its place. If you use a debit card, your bank may withhold this money from your account until the final transaction is complete.

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Tellers Prepay