By pre-ordering, we can guarantee your chosen wines will be on your table as you sit down. To
ensure prompt and efficient service on the day, please complete this form to pre-order your wine
for your table.
Please supply the following wines/champagne to my table for dinner:
WINES & CHAMPAGNE
QUANTITY
Name & Address:
Telephone Number:
Name of table host if different from above: …………………………………………………………
Card Number
Expiry Date
Valid From Date (If applicable)
Security Number (Last three digits on signature strip)
Switch Issue Number
Name on card ……………………………………………….
Name and Address of Cardholder (if different from above):
I wish to pay for the pre ordered wines on my card/cheque in advance of the event. I understand that any
additional purchases during the evening will need to be paid for at point of purchase.
Signed: ................................……………………………..... Date: ............................