Coupon Form Request Your Free Restaurant CouponPlease fill out the form befow to claim your free gift certificate. You must have a successful booking with Hotel Psychic for $100 or over in order to qualify. You must provide the persons name that the booking was made under.First Name *Last Name *Email *Name of Hotel That Was Booked *Check In Date *Check Out Date *Select The Restaurant You Choose *Senor Frogs ($50 min purchase)Hussongs Cantina & Taqueria inside the shoppes at Mandalay Place ($75 min purchase)Carlosn Charlies ($50 min purchase)Pampas Churrascaria ($50 min purchase)Please contact me for other restaurant optionsQuestions / Comments VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: