First Name
Last Name
Company
Telephone
Email
Restaurant Preference	8th Street Wine Company Asiagos Downtown Chandlers Steakhouse Blue Ribbon Italian Bistro Mai Thai Boise Murphys The Reef
Or tell me where you want to eat
Time Preference	11:30 12:00 12:30 1:00
Date Preference Please give two dates that work for you
Confirmation I will check my schedule and confirm one of your date preferences.  How would you like me to confirm with you?	Email Telephone
Comment or question (will go directly to Scott Galloway's private email)