The Center Club - Membership - Dining Request Form

EVENT PLANNING REQUEST FORM

The Center Club welcomes your inquiries and comments. Please use the form below to contact us regarding your next upcoming private function or to provide feedback on your recent event. Our Banquet Manger will promptly return your inquiry. Please note: completing the below form does not constitute a guarantee or confirmation for your event. All inquiries will be confirmed by the Club. If you do not receive a response, kindly call us at 410-727-7788 and ask to speak to the Banquet Manager.

Members: If you enter your membership number and name, you can by-pass completing your mailing address.

* - Required Fields

Membership #:
First Name^*:
Last Name^*:
Address^*:
City^*:
State^*:
Zip Code^*:

E-mail address^*:
Phone^*:		Ex: 123-123-1234
Fax:

Date of Interest^*:		,
Start Time of Event^*:
Approximate End Time^*:
Number of Guests^*:
Type of Event^*:

Comments/Questions: