Date Night Group Reservations Date Night Group Reservation 1st Couple:(Required) First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for First Person (1st Couple):(Required) Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (1st Couple):(Required) Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 2nd Couple:(Required) First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for First Person (2nd Couple):(Required) Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (2nd Couple):(Required) Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 3rd Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (3rd Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (3rd Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 4th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (4th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (4th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 5th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (5th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (5th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 6th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (6th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (6th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 7th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (7th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (7th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 8th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (8th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (8th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 9th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (9th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (9th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse 10th Couple: First Person (First/Last Name) Second Person (First/Last Name) Select Entree' for 1st Person (10th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Select Entree' for 2nd Person (10th Couple): Chicken Piccata Halibut Piccata Beef Tenderloin Medallions w/ Bernaisse Best Contact Number for Group:(Required)Best Email Address for Group:(Required) Does any guest have food allergies? If so, please indicate with Guest Name and allergy:Signature:(Required) First Last Date: MM slash DD slash YYYY Total number of Couples(Required) Price: $80.00 Quantity: Payment MethodCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.