Reservation Form

For more information please contact us at:
5800 Seminole Way. Hollywood, FL 33314
Email: customer@italianwinebar.com
Phone: 954.584.1370
Fax: 954.584.1371

Date: mm/dd/yyyy

Time: am/pm

Number of Guests:

Preffered Email Address: Personal Work

Preffered Phone: Home Work Cell

Zip code:

Comments/ Special needs: