FARALLON SPECIAL REQUEST / PREPAY FORM

An existing reservation is required for all prepay & special requests.
Reservation Information
Reservation Name:
Date & Time of Reservation:
Contact & Credit Card Information:
Name on Credit Card:
Contact Phone Number:
Fax Number:
Email Address:
Credit Card Type
Credit Card #
Exp.
Card ID What is this?
Item(s) for Prepay: Please specify (i.e. dinner, bottle wine, dessert etc.)
Message to Recipient(s), we will copy it verbatim on a card to present to recipient(s) :
When would you like the card presented to the recipient(s), if at all?




Farallon suggests an 18% gratuity to all charges.
Please specify percentage: %
Send a copy of receipt:     

Mailing Address:

In addition to 8.75% sales taxes, a 5% SF Mandates surcharge is added to all food & beverage sales.

I authorize Farallon to charge my credit card account for the amount of the specified items plus sales tax, 5% SF Mandates Surcharge and specified gratuity.
 
You will receive an email to confirm once we receive your request
along with your valid email address.