Special Event Reservation Form

Name*
First Last
Email*
Phone*
Preferred Tasting Package*
- 5 Bottles of Wine and Event Link
- 5 Bottles of Wine, Event Link, Small Charcuterie Board
- 5 Bottles of Wine, Event Link, Large Charcuterie Board
Preferred Pickup Location*
- Wine Bistro Upper Arlington
- Napa Kitchen and Bar Montgomery
- Napa Kitchen and Bar Dublin
- Napa Kitchen and Bar Westerville
Preferred Pick Up Date*
Date Format: MM slash DD slash YYYY
Preferred Pick Up Time*

: HH

MM

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