ORTLEF Dinner Reservation/Raffle Ticket Form

Add the quantity for registrations and raffle tickets in the respective boxes.
I am purchasing*
- Auction Reservation only
- Raffle Ticket(s) only
- Both Reservation and Raffle Ticket(s)
Auction Reservations:
Price: $53.00 Quantity:
Raffle Tickets
Price: $10.00 Quantity:
For Oregon residents only.
Online Raffle Tickets Available: 194

For prizes and rules click here
RESERVATION INFORMATION
Full Name*
First Last
Please enter your credit card billing address
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
My menu selection
Guest Information and Menu Selections

Guests Info and menu selections

Guest Name	Menu Selection	Email	Phone	Address
					Edit Delete
There are no guests.

If you wish to pay by another means, please contact the office at 503.463.8563

RESERVATION INFORMATION