Herbert's Express Lunch Order Form

Fax this order form to 201-865-7655 by 11:30 am Monday through Friday (except holidays)
and Herbert's will reserve a cafe or pool table for your party and have your order ready within
10 minutes of your arrival.

Name: ______________________
Phone Number: __________________________
Table preference (specify number of tables)
_____ pool table(s) (additional charge)
Specify Table type:  ____ 8-foot regular   ____ 9-foot regular   ____ 9-foot premium
_____ cafe table(s)
Date: __________
Number in party:___________
Arrival time (specify time from noon to 2:30 p.m.):______________

I understand that the quality of food ordered may suffer if my party is not at Herbert's by the time specified.
I hereby authorize Herbert's Billiards Club Inc. to charge the above order to the following account even if I do not come to Herbert's:
____Master Card
____Visa
____American Express
Name on Card____________________ Account Number____________________
Expiration Date____________________ Authorized Signature___________________

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