	Quixote's Kitchen

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[Terms]

To book a reservation simply complete the form below & click "Submit" & send your $500.00 US deposit per person to Quixote's Kitchen.

If you wish, you can also print the form & fax (1-604-267-0187) or mail (650 W. 41st Ave, Suite 567; Vancouver, BC V5Z 2M9) to Quixote's Kitchen along with your deposit. Be sure to read the Terms & Conditions of your reservation first!

* = Required Information

Name:*
Address:*
Birth date:
Home Phone:*
Office Phone:
Fax Number:
Promotional Code:
E-mail:*
Special diet or medical condition:
Select Trip:*
NAME AND ADDRESS OF EACH ADDITIONAL PERSON IN YOUR PARTY:
Person #1 Name:
Address:
Birth date:
Home Phone:
Office Phone:
Fax Number:
E-mail:
Special diet or medical condition:
Person #2 Name:
Address:
Birth date:
Home Phone:
Office Phone:
Fax Number:
E-mail:
Special diet or medical condition:


	SIGN-UP Madrid €3,500 Sept.-October April-June Castille €3000 Sept- October April-June