VIP Bottle Service Request Form

BOOT AND BOTTLES ($0)

Sat. Jul. 15 @ DIAMONDS LOUNGE
What's Included: BOOTH | BOOTLES | Tax and Tip Not 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