BOULDER MESA RESTAURANT
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RESERVATION FORM

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(*)Name:
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Type of Event:
(*)Reservation Date:
(*)Reservation Time:
(*)Number in Party:
(*)Type of Credit Card:
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(*)Credit Card:
Cancelations must be done at least 24 hours in advance
for parties of more than 2 people or your credit card will
be charged $10.00 per person.


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