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金牌会员申请表

银牌会员申请表
Region: Area:
First Name(名)*: Last Name(姓)*:
Restaurant Name(餐館名字)*: Address(地址)*:
City(城市): Postal Code
(郵編):
Phone(電話)*: Email(電郵):
Fax(傳真): Web Site(网址):
Cuisine(風味)**: Other Type:
餐馆中文名
Your customers' payment options:
Cash MasterCard Visa American Express
Ambience環境:
Casual Country Style Dim Lights Elegant
Family Festive Formal Fun
Great Views Music Party Quiet
Romantic Well Lighting
Features特點:
Award Winning Banquet Bar
Bed & Breakfast Breakfast Brick Oven
Brunch Buffet Business Lunches
Cash Only Celebrities Celebrity Owned
Coffee Cyber Cafe Dancing
Delivery Dinner Theater DiRoNA
Early Bird Special Fireplace Game Menu
Garden Hotel Dining Kid-Friendly
Light Menu Microbrews Off-Premise Catering
Open Late Night Outdoor Dining Parking
Pre-Theater Menu Private Parties Pub
Raw Bar Reservations Salad Bar
Senior Discount Singles Sushi Bar
Take Out Tasting Menu Theater District
Wheelchair Access Wine Tastings
Business Hours(工作時間):
Monday(星期一) Tuesday(星期二)
Wednesday(星期三) Thursday(星期四)
Friday(星期五) Saturday(星期六)
Sunday(星期天)
Description(簡介):
I would like to pay by:
Credit Card    Cheque
Check Code:  
Please type the number into the box.
*必须填    **可以多项选择(同时点Control键和鼠标)
  .