RESERVATION REQUEST

your name:	first:
	last:
phone #:
email:
name of reservation:
how many guests:			> for large parties of 20 or more please call 541.479.3938 888.511.EDGE (3343)

when will you be dining:	day		month		year
		/		/
at what time:	hour		minute
		:
you will receive a confirmation within 24 hours