First Name
Last Name
Email
Phone Number
Reservation Date and Time
Month 
February
Day 
13th
Time 
6:30
8:00
Number of Guest
1
2
3
4
5
6
7
8
Vegaterian
No
Yes
Please List Any Allergies You Have
none
Please List Any Dietary Restrictions
none
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724 Massachusetts Street
Wine Cellar Dining Room
Lawrence, KS 66044
785-841-1100