VIP Bottle Service Request Form

FIREWORKS PACKAGE ($460)

Mon. Dec. 31 @ LUXY NIGHTCLUB
What's Included: 2 Premium Bottles | 1 Complimentary Hookah | Line By Pass | Private Table | 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