1. One Walden Galleria TH119 Buffalo, NY 14225 Phone: 716-685-6358 Fax: 716-685-3099 Buffalomeltingpot@yahoo.com meltingpot.com FOUR-COURSE PARTY AGREEMENT Name of Party: _________________________ Host Name: _______________________ Number of Guests: ___ Date of Party: ____________ Time: __________ Phone: ___________ Fax: __________ Email: _______________ Address: _______________________________ City: ______________________ State: ______ Zip Code: ______ Credit Card Type: ☐ Visa ☐ MasterCard ☐ American Express ☐ Discover ☐ Diners Credit Card Number: ________________________ Name on Card: _________________________ Exp. Date: ___ CHEESE FONDUE Choose up to two ☐ Wisconsin Cheddar ☐ Loaded Baked Potato Cheddar ☐ Spinach Artichoke ☐ Classic Alpine ☐ Fiesta ☐ Other _______________ CHEESE PRESENTATION Choose one ☐ Tableside ☐ Preset ENTRÉE SELECTION Prices do not include beverages, tax or gratuity Choose one: ☐ Land & Sea $37.95 per person ☐ Steak Lovers $41.95 per person ☐ Classic $41.95 per person ☐ Fondue Delight $45.95 per person ☐ Surf & Turf $46.95 per person ☐ Good Earth Vegetarian $31.95 per person ☐ Children’s Three-Course $19.95 per child Number of Children ______ COOKING STYLE OPTIONS ☐ Court Bouillon complimentary ☐ Mojo $4.95 per pot ☐ Bourguignonne $5.95 per pot ☐ Coq au Vin $4.95 per pot CHOCOLATE FONDUE Choose up to two ☐ The Original ☐ Flaming Turtle ☐ Milk ☐ Dark ☐ White ☐ Chocolate S’mores ☐ Create Your Own ☐ Other _______________ SALAD SELECTIONS Choose one ☐ The Melting Pot House ☐ Strawberry Spinach ☐ California ☐ Caesar BAR SELECTIONS ☐ Open Bar (paid for by the host) ☐ Open Bar With Limit of $_____ ☐ Cash Bar (paid for by the guests) ☐ No alcohol offered CELEBRATION PACKAGES ☐ Balloon Package $16.95 ☐ Single Rose Package $19.95 ☐ Half Dozen Rose Package $29.95 ☐ Full Dozen Rose Package $45.95 HOW DID YOU HEAR ABOUT OUR LARGE PARTIES? SPECIAL OCCASION? ☐ Yes ☐ No Type of Occasion __________________ Guest of Honor’s Name _____________ SPECIAL REQUESTS? Beverages, tax and gratuity are not included in the package price. The party agrees to provide a final head count to the marketing and event coordinator, at Buffalomeltingpot@yahoo.com two days prior to the event date. If no final head count is given two days prior, the party will be billed for the number of guests provided on the Large Party Agreement. The restaurant will only block space for the agreed upon number of guests. The restaurant reserves the right to use any tables around the party unless other arrangements are made through the event coordinator and written in the final agreement above. Large parties are booked for three hours. As a courtesy to other guests booked after your reservation please ask your guests to arrive on time and allow for travel and traffic conditions. Should your party not show, fail to cancel by 5 p.m. two days prior, or are short more than 3 guests, $25.00 per missing guest will be charged in the form of a Gift Card. A reservation will not be held for your party until contract is returned. Although we can apply separate payment denominations to the total check, we are unable to provide separate itemized checks. I have read the above and understand the terms under which this reservation is made. I have checked the party information and filled in the final agreement and I attest to its accuracy. Signature: _________________________________________________________ Date: ________________________________ Email completed agreement to buffalomeltingpot@yahoo.com or fax to 716-685-3099buffalomeltingpot@yahoo.com