Zinc Port Douglas

Melbourne Cup Lunch Booking Form

If you already have a table booked, you may pay for your tickets by completing this form, printing and signing it, then faxing back to 07 4099 5926. You may also scan and email to info@zincportdouglas.com

If you do not have a table booked, please call the restaurant on 07 4099 6860 to check availability before completing this form. Thank you.

Event Date: Tuesday 1st November 2016
Your Full Name:
To avoid having to wait for your payment to be processed on arrival, you may pay for this event in advance. Please complete the authority below.
Type of Credit Card:
Name on Card:
Card Number:
CVV Number: (3 or 4 digits)
Expiry Date:
Number of Tickets:

at $130 each

= Authorised Amount of $
(click in the authorised amount field to update total)

Table Booking Name:
Name of Guests:
Please note any dietary requirements of special requests here:

In case we need to contact you about this form, please provide your details below:
Phone:
Email:

Signature:
By signing this form, you agree to have the above authorised amount charged to your card.