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Astoria Banquets 1375 West Dundee Road Buffalo Grove, Illinois 60089 Tel: 847.392.7500 Fax: 847.392.7577 Email: info@astoriabanquets.com	Information Request Form Please fill out this form and our staff will get back to you as soon as possible. First Name Last Name Address Telephone FAX E-mail address Event Type --select-- Wedding Engagement Private Party Bar/Bat Mitzvah Birthday Party Graduation Cotillion Quincienera Rehearsal Dinner Holiday Party Award Dinner Corporate Event Number of Guests --select-- under 100 100-150 150-200 200-300 300-500 Date of event Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 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 2007 2008 2009 2010 Don't Know Onsite Ceremony No Yes How did you hear about us: --select-- attended a function word of mouth Yahoo Google magazine direct mail Reset
Astoria Banquets 1375 West Dundee Rd Buffalo Grove, Illinois 60089 847.392.7500   © 2005 Astoria Banquets. All Rights Reserved.