Contact Telephone Number: *

Email: *

Street Address:

City:

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Zip Code:

Occasion *
In-home dinner party
Cocktail Reception
Creams or High Tea
Wedding
Ball or Cotillion
Corporate Event or Banquet
Breakfast or Luncheon
Press and Promotional Event
Special Family Gathering
Commencement Celebration
Communion, Bar Mitzvah, Bat Mitzvah
Holiday Dinner
Anniversary Party
Birthday Party
Other

Date Of Event: Month: January February March April May June July August September October November December Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Number of Guests: Minimum: Maximum:

Timing of the Event: Start: Finish:

Venue
Not Sure
Savoir Fare Event Room
Breaux Vineyards, Purcellville, VA
Historic Long Branch, Middletown, VA
Lost Creek Winery, Leesburg, VA
Oakland Green Bed & Breakfast, Lincoln, VA
The Briar Batch Bed & Breakfast, Middleburg, VA
The Norris House, Leesburg, VA
The Thomas Birkby House, Leesburg, VA
Private home
Other

Catering Presentation (please check all that apply):
Heavy Hors D'Oeuvres
Seated 4-course Meal (soup/salad, appetizer, entrée and dessert)
Seated 3-course Meal (appetizer, entrée and dessert)
Buffet
Cake Cutting
Champagne / Wine Toasting
Other