Credit Card Authorization Form


I authorize Jardinière Restaurant to charge my credit card for:

All charges
Food only
Beverages only
Other (Please specify)

Name on Reservation:
Date and Time of Reservation:
Credit Card Type:
Name on Card:
Credit Card Number:
Expiration Date:
Card ID: What is this?
Billing Address:
Telephone Number:
Other Special Instructions:
An 18% gratuity will be added to all charges unless you specify an alternate percentage:


If you are calling less than 24 hours prior to the reservation, please call and notify Jardinière at 415-861-5527.