Phoenix Phling Order Form



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Personal Information


Order Information


Dinner Options:
Cracked Crab           $60 per person
Surf & Turf Option     $70 per person


Wine Options:
Justin Cabernet Sauvignon     $40.00 per bottle
Justin Viognier                        $35.00 per bottle
Broken Earth Red Blend         $20.00 per bottle
Paso Heritage Chardonnay     $20.00 per bottle




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We will use this information to process the transaction using our square account.


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