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Private Dining Contract
Event Date
(Required)
MM slash DD slash YYYY
Type of Event
(Required)
Arrival Time
(Required)
(3-hour room rental)
Room Requested
(Required)
Solarium
Camellia Room
Host Arrival Time
(Required)
Estimated Guest Count
(Required)
*Final guest count guarantee due 7 days prior to event*
End Time
(Required)
Guest(s) of Honor
(Required)
Contact Person
(Required)
First
Last
Mailing Address
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Cell Phone
(Required)
Work Phone
Home Phone
Email
(Required)
Menu Selection
(Required)
Bar Selection
(Required)
Open
Limited
Cash
Salad
4 Entrees
Dessert
Do you need to rent AV equipment?
(Required)
Camellia room- Screen/projector- $175 Solarium room- Mic and speakers-$100 / TV-$100
Yes
No
Payment
Type of Credit Card
(Required)
Visa
MasterCard
Discover
American Express
Exp:
(Required)
Credit Card #
(Required)
CVV
(Required)
Full Name on Card
(Required)
Zip Code
(Required)
I hereby authorize Ruffino’s Italian Restaurant to debit the above credit card in the amount of $200 in the event that I cancel my event less than 14 days prior to the event date. I understand that this fee is non-refundable, and non-transferable.
(Required)
Confirm
Δ
Contact us to reserve your event today!
First Name
*
Last Name
*
Email
*
Phone
Date of Event?
MM slash DD slash YYYY
Time of Event?
:
HH
MM
AM
PM
AM/PM
Size of Event?
Occasion for Event?
Additional Comments
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
Δ
CLOSE
Conact us to reserve your event today!
First Name
*
Last Name
*
Email
*
Phone
Date of Event?
MM slash DD slash YYYY
Time of Event?
:
HH
MM
AM
PM
AM/PM
Size of Event?
Occasion for Event?
Additional Comments
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
Δ
CLOSE