Evergreen Banquet & Party Request Form


Name of Party
Contact Person *
Phone
Fax
Date/Time of Party *
Approx # of Guests
Number of Adults
Number of Children
Adults $15=
Kids 6-12 $8.00
Kids 5 & under .50 per year of age=
Upgrades
Pizza Choices (name three)
Non-Alcoholic Beverage Choices (name three)