*indicates required field
First Name:
Last Name:
Email:
Day of your party:
Time of your party (please allow a 1 hour window for dancer arrival): 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM 12:00 AM 12:30 AM 1:00 AM 1:30 AM 2:00 AM 2:30 AM 3:00 AM 3:30 AM 4:00 AM 4:30 AM 5:00 AM 5:30 AM 6:00 AM 6:30 AM 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 AM
Address:
Apartment / Hotel Room Number If Any:
City:
State:
Zip:
Phone Number (of the above party address):
Confirmation Phone Number: (we will call this number to confirm on the day of the party)
Select Female Dancer package No Female Dancer 1 Girl 1 Hour 2 Girls 1 Hour 3 Girls 1 Hour 4 Girls 1 Hour 1 Girl 1/2 Hour 2 Girls 1/2 Hour 3 Girls 1/2 Hour 4 Girls 1/2 Hour 1 on 1 Private
Select Male Dancer package No Male Dancer 1 Male 1 Hour 2 Males 1 Hour 3 Males 1 Hour 4 Males 1 Hour 1 Male 1/2 Hour 2 Males 1/2 Hour 3 Males 1/2 Hour 4 Males 1/2 Hour 1 on 1 Private
Dancers you would like to reserve: (Please give us a first choice and a few back up choices for every dancer ordered) See Female Strippers or Male Strippers (page will open in new window)
Guest of Honor? (Name)
What are you celebrating? Choose one Bachelor Party Bachelorette Party Birthday Party Poker Party Graduation Party Anniversary 1 on 1 Private Show Divorce Party Office Party Guys Night Out Girls Night Out Divorce Party Other
How many Guest's will be at the party:
Will your party be co ed? Yes No Not Sure
Is your party a surprise? YES NO
Comments or questions:
Best day and time for us to call you to confirm your reservation? (must be at least 24 hours before your party date)
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CONTACT US
800-665-4950
Some locations may incur a minimal travel fee. Please call and our friendly staff will let you know if a fee applies to your party location.