BEER DINNER REGISTRATION 2019

BJ's North Little Rock
3941 McCain Blvd.
North Little Rock, AR 72116

501-502-0300
Event Date & Time:
Tuesday, June 04, 2019 7:00 PM

$40.00 Per Guest ($25.00 For Food, $15.00 For Alcohol)
$25.00 Per Designated Driver (Food Only)
Guest Info
Number of Guests (Eating & Drinking):
($40.00 Per Guest, 49 Seats Left)
Reservation Name:
Email Address:
Phone Number:
Designated Drivers (Eating Only): 0
Payment Info
Subtotal: $40.00 ($25.00 Food, $15.00 Alcohol)
Tax: $4.56 ($3.13 Food, $1.43 Alcohol)
Tip: (0%)
Total Due: $44.56
Credit Card Number:
Expiration:
Zip Code: CVV:
Name on Card:
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All Fields Are Required. Each booking must be under $500. If booking are needed that exceed the $500 limit, please use multiple transactions and keep each transaction under $500.

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