VALENTINES DAY DINNER ORDER FORM Fax order to 650.631.8816 Or email to michelle@avenir-rg.

com Orders must be received by 2:30pm on Monday 2-13 for pick-up on Tuesday 2-14 between 2:30-4:30 Last name for order: _________________________ Number of People in your group: 2 ($65) 4($130) 6 ($195) 8 ($260)

(Filet Mignon and Bread Pudding provided for all) Your choice of one of the following starch sides, and one of the following vegetable sides will be portioned for the number of people indicated in your group above. Choice of Potato: Garlic Roasted Mashed Potato Parmesan Potato Gratin Choice of Vegetable: Broccoli Bearnaise Wine Braised Mushrooms Please choose wines to accompany your meal at the additional price noted Champagne, Veuve-Clicquot Yellow Label Reims, NV Chardonnay, Flowers, Sonoma Coast, 08 Pinot Noir, Flowers, Sonoma Coast, 09 $45 $35 $46 Number of Bottles _________ Number of Bottles__________ Number of Bottles _________ Number of Bottles _________

Cabernet Sauvignon, Silver Oak, Alexander Valley, 08 $55

**All orders are subject to 8.25% sales tax and must be pre-paid using the credit card you provide below, credit card charges will be processed by close of business on Monday 2-13** Credit Card Type:___________Credit Card#________________________Exp_______ Card Holders Name______________________________________________________ Card Holders E-Mail Address_____________________________________________ Signature____________________Printed Name:_________________ Date___________