5333 U.S. Highway 150
2 mi. North of
Alpha, Illinois 61413
(309) 629-2359
countrycornr@winco.net

Open:

Seven Days a Week!
Mon-Sat, 9 to 6
Sunday, 10-5

Birthday Party Reservation Request

Birthday Child:
Parent:
	Street:
	City:
	State:
	Zip:
	Day Phone:
	email:
	Phone (evening)
Number of Children:
No of Persons with Disabilities:
Please state special accommodations needed:
Number of Adults:
Date Requested:
Time Requested:
How did you hear about us?
Please mail a $75 deposit to the address shown on the next page. Deposit must be received in 7 days to hold your reservation. No reservation is final until you receive confirmation from Country Corner.