celebrating 18 years of pan-latin cooking in a brooklyn brownstone

Private Event Credit Card Authorization Form

Name

First Name

Last Name

Phone Number

(###) ###-####

Credit Card Number

Expiration Date

MM/YY

CVC Number

Billing Zip Code

Deposit / Room Rental Fee Amount

*Note: deposit amount will only be charged to your card once your requested date is confirmed by the event coordinator.

Requested Event Date & Time

Type of Event

Estimated # of Guests

Final event count is needed 48 hours pror to event.

Menu Selections

Final menu selections required 14 days prior to event.

PALO SANTO