BOOKING CONFIRMATION AND CREDIT CARD DEPOSIT FORM BOOKING

							               BOOKING CONFIRMATION AND CREDIT CARD DEPOSIT FORM

                                          BOOKING INFORMATION

     Booking Name:          __________________________Contact Name: _______________________

    Booking Date:            _______________________             Time: ______________________________

    Telephone: BH           __________________________ AH ________________________________

    Mobile __________________________                        Fax ________________________________

    Number of Guests: _______________________

    Special Requests:
    _________________________________________________________________________________
    _________________________________________________________________________________
.

                                       CREDIT CARD INFORMATION:

    Please circle:           VISA             M/C             B/C              AMEX             DINERS

    Credit Card Number: ____________________________________ Exp Date: _________

    Name of Card Holder: ___________________________________________________________

    Amount of Deposit: _________________________
                     I AUTHORISE BAIA SAN MARCO BAR CAFÉ TO DEDUCT THE ABOVE AMOUNT
                             FROM MY CREDIT CARD AS A SAFTY DEPOSIT


    Authorized signature: _____________________________________                         Date: _____________

     Deposit will be deducted off your bill on the night. Prepaid deposits do not incur any GST. Please give at least 24
     hours notice for any cancellation. Final numbers must be confirmed at least 6 hours prior the booking time or full
     set menu price will be charge for the final number. If you have any further questions, please don’t hesitate to call
                              the restaurant manager on (02) 9283 3434 Fax (02) 9283 3435

                         BAIA SAN MARCO BAR CAFÉ - SHOP 110 COCKLE BAY WHARF
                                             A.B.N. 42 084 902 545