BEER DINNER REGISTRATION 2021

BJ's Denver West
14245 W Colfax Avenue
Lakewood, CO 80401

720-927-4260
Event Date & Time:
Tuesday, December 7, 2021 7:00 PM

$45.18 Per Guest ($25.12 For Food, $30.06 For Alcohol)
$25.12 Per Designated Driver (Food Only)
Guest Info
Number of Guests (Eating & Drinking):
($45.18 Per Guest, 3 Seats Left)
Reservation Name:
Email Address:
Phone Number:
Designated Drivers (Eating Only): 0
Payment Info
Subtotal: $45.18 ($25.12 Food, $30.06 Alcohol)
Tax: $4.13 ($1.88 Food, $2.25 Alcohol)
Tip: (0%)
Total Due: $49.31
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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