9755 Traville Gateway Drive Rockville, Md 20850
Tel. 301-217-5900 - Fax: 301-217-5901

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Little Ladies Tea Party
$265.00 up to 8 children
$18.00 each additional child

Please contact Gurvinder Ravery with any questions (240)461-8361 Direct (301)217-5901 Fax

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CHILD'S NAME________________________DATE OF BIRTH_________
PARENT'S NAME_____________________________________________
ADDRESS___________________________________________________
CITY________________________ STATE__________ ZIP_________
HOME NUMBER________________CELL NUMBER____________________
E-MAIL ADDRESS____________________________________________

REQUESTED DATE / TIME FOR PARTY __________________________

APPROX. NUMBER OF GUESTS(including birthday girl)_________

Please Select Tea Menu:

Choice of Two:
___ Peanut Butter & Jelly Tea Sandwiches
___ Cheese Tea Sandwiches
___ Cheese Pizza
___ Cream Cheese Tea Sandwiches

Choice of Two: (varies seasonally)

___ Apples
___ Strawberries
___ Grapes

Pink & Chocolate Wafers
Tea: Pink Lemonade

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Optional:

___Freshly baked cake, custom decorated ($75 and up)

___Adult’s Menu Choices from our Bar Menu



Method of Payment:

___CASH PAYMENTS MUST BE MADE IN PERSON AT AMADA AMANTE

___CHECK PAYABLE TO AMADA AMANTE

___AMERICAN EXPRESS ___VISA ___MASTERCARD

CREDIT CARD NUMBER_______________________________EXP. DATE______________

CARDHOLDER SIGNATURE______________________

TODAY'S DATE__________________

CARDHOLDER NAME (PLEASE PRINT)___________________________________________

if a cancellation is necessary, a seven day notice is required for a full refund
Please print and fax completed form to: (301)217-5901

ATTENTION: GURVINDER RAVERY

Click here to print this form


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