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    Restaurant Location

    KilmarnockTappahannockBoth

    Your Name

    Your Email

    Time Visited

    Date

    Check Number

    PLEASE RATE US: 5=Excellent 1=Poor Taste of Food

    54321

    Speed of Service

    54321

    Attentiveness & Courtesy

    54321

    Cleanliness

    54321

    Order Accuracy

    54321

    Comments/Suggestions