Yes, please reserve the following date for our upcoming event.  I understand the deposit is $200.  Payment is required in advance for Country Catering, Inc. to reserve this date.  Please complete this form, and click the "Proceed to Step 2" button below to complete your reservation. Dates are reserved on a first come, first served basis.  NOTE: If this date is not available, for the time requested, Country Catering, Inc. will contact you, and your deposit will be refunded if necessary.

Mrs. Miss Ms. Mr.    * Name:

* Event Date:      * Event Time: start:    end:

Organization:    Title:

Address:

City: State: NE KS Zip:

* Phone:    Fax:

* E-Mail Address:

Comments: If you have any questions or special concerns please enter here.

* Required Fields Name, Date, Times, Phone Number, and E-Mail address are necessary for Country Catering, Inc. to contact you prior to the event.

When you are ready to proceed to payment click "Proceed to Step 2". Your Online Payment with your credit card will be processed using PayPal.  Step 2 includes a confirmation page for your  verification and a payment button to complete your payment and proceed to checkout.  If you do not wish to use our PayPal processing, please register by Fax or Phone. 

If you would prefer to register using another method	4	by Fax	by Phone
		Click here to print a reservation form (Adobe pdf) (308) 446-2202	Please call M-F before 5:00 pm (Central time) (308) 446-2202
		PLEASE NOTE: To view our reservation form you need Adobe Acrobat installed.  To download your FREE copy of Adobe Acrobat click on the Adobe logo on the left.