Reservation Date *

MM

DD

YYYY

Guest Name *

First Name

Last Name

Phone *

(###)

###

####

Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

No Show / Cancellation Fee *

I understand that if my party does not show up for the reservation or is canceled after 2pm on the day of the reservation, Cotton & Rye may charge $20 per person on the reservation.

I agree