Request for Information
Party Reservation Form

StrippersNYC.com
212-544-8153 x76

Special Note:

Please fill out this form only if you have first spoken to our office and either Beverly, or Eve of our office have asked you to send the below information.

DO NOT FILL OUT IF YOU HAVE NOT SPOKEN TO US BEFORE ABOUT THIS EVENT

 

Personal Info:

Name

Home Address

Apt #

City

State

Zip Code

Home Telephone #

Cell Phone #

Fax #

Email Address

If Corporate:

Name of Company

Cell #

Work Telephone #

Party Location Info:

Address of Party

Apt #

Private House

Apartment

Office

Restaurant

Catering Hall

Community Room

Other (Please Fill In)

Floor

Cross Streets

Zip Code

Telephone # of Party Address

Type of Event/Entertainment Requested:

Birthday Party

Corporate Party

Enter Type of Event/Entertainment You Are Requesting)

Event Date

Amount You Were Quoted by SNYC's Rep (Plus Tax)

START TIME (Time You Want The Performer To Arrive)

END TIME (Tim You Want The Performer To End)

Birthday GUEST OF HONOR Name

AGE

Do you need a Webmaster?

Optional - If Applicable, please select:

Interracial  African American  Spanish  Caucasian  Mixed Up Gals  Martian  Matters Not - Just Send Excellent Dancer

Payment:

Credit Card Number

Expiration Date

Name of Card Holder

CVV # on back of card (3 or 4 digit # at end of signature field on back of card)

Additional Comments

Deposit: A 50% or less deposit is required for all private parties. All deposits are non-refundable. Exception: Act of nature/man - Full refund due to client.

If this is a "Corporate" Event - Some clients such as Known Fortune 500 Companies, etc.. are eligible for billing system.

Strippers NYC
212-544-8153 x76