VIP Bottle Service Request Form

$400 DARE PACKAGE ($400)

Sundays @ HER NIGHTCLUB
What's Included: 2 PREMIUM BOTTLES | VIP LINE BY PASS | VIP BOOTH | 10 FREE ENTRY | Tax and Tip Included

Please fill out the form below to request VIP & Bottle Service. A representative from the club will contact you to confirm your booking.

*Name (first & last) *Best Time to Call Best Way to Contact You

*Event Date

*Email Phone Number Number of People

Additional Notes