Becky Robinson Reservation Request - Chartwell Country Club

Seat 1 - Name:*

Seat 1 - Member #:*

Seat 1 - E-mail:*

Seat 1 - Phone #:*

()-

Total Party Size:*

Maximum party size is 8 adults.

Seat 2 - Name:

Seat 2 - Bill to Member #:

Seat 3 - Name:

Seat 3 - Bill to Member #:

Seat 4 - Name:

Seat 4 - Bill to Member #:

Seat 5 - Name:

Seat 5 - Bill to Member #:

Seat 6 - Name:

Seat 6 - Bill to Member #:

Seat 7 - Name:

Seat 7 - Bill to Member #:

Seat 8 - Name:

Seat 8 - Bill to Member #:

Seating Section Preference 1:*

Seating Section Preference 2:*

Acknowledgement 1:*

I understand that each guest registered must have a corresponding “bill to member number” listed. If a member or guest is registered without a member number that ticket will be billed to the primary reservation contact (seat 1).

Contact information for Seat 1 will be used for correspondences for your entire reservation.
Seat 1 - Name:*
Seat 1 - Member #:*
Seat 1 - E-mail:*
Seat 1 - Phone #:*	()-First three digitsSecond three digitsLast four digits
Total Party Size:*	Maximum party size is 8 adults.

Please enter the name and member number for each person included in your reservation request; Each guest registered must have a corresponding “bill to member number” listed. If a member or guest is registered without a member number that ticket will be billed to the primary reservation contact (seat 1). One guest is permitted per member attending; the maximum reservation request for members and guests is 8 adults total.
Seat 2 - Name:
	Member Guest
Seat 2 - Bill to Member #:

Seat 3 - Name:
	Member Guest
Seat 3 - Bill to Member #:

Seat 4 - Name:
	Member Guest
Seat 4 - Bill to Member #:

Seat 5 - Name:
	Member Guest
Seat 5 - Bill to Member #:

Seat 6 - Name:
	Member Guest
Seat 6 - Bill to Member #:

Seat 7 - Name:
	Member Guest
Seat 7 - Bill to Member #:

Seat 8 - Name:
	Member Guest
Seat 8 - Bill to Member #:

Please select your first seating and second seating section preference below.
Seating Section Preference 1:*
Seating Section Preference 2:*

Acknowledgement 1:*	I understand that each guest registered must have a corresponding “bill to member number” listed. If a member or guest is registered without a member number that ticket will be billed to the primary reservation contact (seat 1).
Acknowledgement 2:*	I understand that submitting this Reservation Request Form does not confirm my reservation for the event, and that I will be notified with Registration Confirmation or Wait List status by email on Tuesday, January 21.