Use this form for making

African Banquet Reservations and Payments

We look forward to welcome you!

African Banquet Reservation Payment Form

$80 per person
Full Name*

First NameLast Name
E-mail*
Phone number*
Date of Banquet*

MonthDayYear
Date
Special Dietary Requirements
Number of seats*

Make payment using Credit Card*

AUDEnter amount at $80 per person

Credit Card
First Name	Last Name
Credit Card Number	Security Code

Enter the message as it's shown*
Should be Empty: