All deposits for booked dances and parties are non-refundable

WE ACCEPT

OVER THE PHONE


:: Please complete *ALL* the fields in the form below ::


CONTACT INFORMATION

First Name:             Last Name: 


E-Mail:            Phone
(10 digits with no spaces/dashes):


Street or PO Box Address:


City:        State:           Zip Code:

PARTY INFO

Kind of stripper?:              Party Day:             Party Month:            
Date:  


Earliest Start Time:       Latest Start Time:


Party Street or PO Box Address:



City:        State:           Zip Code:


Approximately how many people will be attending:  


Comments or special instructions:  



NO REFUNDS AUTHORIZATION FOR PERSONAL LIABILITY

By typing your name in the adjacent box, you hereby understand and agree that you will not receive a refund after you press
'Submit' due to cancellations, oversights, or otherwise circumstances and personal liability on your part.

No bookings will be accepted without your electronic signature!

Electronic signature:

     




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