D-VINE RESTAURANT ON FLINDERS / BAR MYSTIQUE LOUNGE
FUNCTION BOOKING FORM
BOOKING NAME: ____________________ DATE OF BOOKING: ________________
TELEPHONE WK: ____________________ MOBILE: __________________________
FAX: _______________________________ EMAIL: ____________________________
CONTACT PERSON: __________________ MEMBERSHIP NO: __________________
BOOKING TIME: ______________________ NUMBER OF GUESTS: ______________
MENU CHOICE: Please attach menu with function booking confirmation form
PAYMENT OPTIONS (Please circle one)
CASH CHEQUE CREDIT CARD
CREDIT CARD OPTIONS (Please circle one)
CARD TYPE: VISA M/C B/C
CREDIT CARD NUMBER: _____________________________ EXP DATE: __________
NAME ON CARD ______________________________ SECURITY CODE: __________
(last 3 digits on signature panel)
AMOUNT TO BE CHARGED: $ ______________ $100 OR 10% (whichever is greater)
I AUTHORISE THE TAXI CLUB TO DEDUCT THE ABOVE AMOUNT FROM MY
CARDHOLDER’S SIGNATURE: ___________________________________________
Final payment and confirmation of final guest numbers must be finalised 3 working days prior to function. If
you have any further questions, please do not hesitate to contact us on 93314256.
Please hand to reception or fax-completed form with menu selection to 93317252
D-Vine on Flinders
Terms and Conditions
The Taxi Club agrees to accept your booking on the following Terms and Conditions
1. Bookings A tentative booking may be held for 14 days, after which time
confirmation must be made in writing with our Booking Form, signed terms and
conditions form and accompanied with a deposit of 10% or $100 (whichever is
2. Confirmation You must provide the Taxi Club with menu selections and any other
service you require the Taxi Club to provide at Your function one week prior to
function. Your guaranteed numbers are required 72 hours prior to function. This
number will be regarded as the minimum number for charging purposes.
The Taxi Club will then provide you with an estimate of the cost of the food and
services etc. based on your menu selection. You acknowledge that a small increase
in the number of guests may be accommodated by the Taxi Club upon Your
request; however, the number of guest cannot be reduced. Naturally, the
estimated cost shall be deemed to increase in accordance with any increase in the
number of guests and their requirements.
3. Cancellations A booking confirmed in accordance with Paragraph 1. Bookings
may only be cancelled in writing a minimum of 2 weeks prior to function otherwise
the full deposit will be forfeited.
4. Responsibility You hereby indemnify The Taxi Club against all losses, damages
and claims that the Taxi Club may incur, suffer or pay, as a result of any loss of
property during the course of, or after Your function or as a result of any damage
sustained to the Venue and / or any properties that belongs or is part of the
building whether by your own action or by the actions of Your invited guests. It is
your responsibility to advise Your guests of the start/finish time of Your function.
You acknowledge that the Taxi Club shall not be responsible for any activities that
may take place in such areas during Your function.
You accept and agree to be bound by the above terms and conditions.