Pre-Pay Form

Reservation Info:
Reservation Name:
Reservation Date:
Reservation Time:
Contact Info:
(you will be contacted by a reservationist to confirm)
Your Name:
Phone #:
Email:
Prepay Details:
Prepaid item or Amount:
(Please specify what you would like to pre-pay: dinner, bottle of wine, dessert, dollar amount etc.)
20% gratuity will be added for the server.
Prepay to be addressed to:
Prepay to be addressed from:
Message to Guest:
Special instructions: present notice of gift at:
  Beginning of meal
End of meal
Payment Info:
Credit Card Type
Full Name on Credit Card
Credit Card #
Exp.
Card ID What is this?

I authorize Epic Steak Restaurant to charge my credit card account for the amount of the specified item(s) plus tax and gratuity.

Name:
Date:
Send a copy of receipt: No
Yes
Mailing Address For Receipt:

 


EPIC Steak | 369 The Embarcadero | San Francisco, California 94105 | Phone: 415.369.9955 | reservations@epicSteak.com | Online Reservations
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