Printable Fax Form

Frederick's Bistro
14439 Northwest Military Highway
Shavano Park, TX 78209
210-888-1500
Fax: 210-888-1555

Frederick's Group Booking Form
Print this form, fill it out and fax it back to us at Frederick's. We look forward to working with you!

Contact Name: _____________________________________________________________

Organization: ______________________________________________________________

Address: ________________________________________________________________________

City: ________________________________ State: _____ Zip: _________________

Phone: ________________________ Email Address: _____________________________

Fax: ___________________________

Group Dining Date: ___________________ Time of Reservation Desired: _________________

Credit Card Type: ________________ Card Number: _________________________________
Visa/Mastercard/American Express, etc

Expiration Date: ______________________

Group Needs (describe your special event needs here)

______________________________________________________________________________________________________________

Fax this form to us at: 210-888-1555

Thanks! Frederick.