Paradigm Wine Tasting

Cafe 36
22 Calandar Court, La Grange, IL 

$55.00 Per Person

 

After filling in form, please be certain to click on the "SUBMIT" button at the bottom -
you should see a "confirmation" page if you entered your information correctly.

 

Name:                        

Address:

City:   ST:   Zip:

Phone:   

E-Mail Address:

Number of persons:                

Credit Card Number:                    

Security Code:                 

Expiration:

By submitting this form, I authorize Mainstreet Wines and Liquors to charge the $55.00 Per person cost to the credit card I have listed.

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