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    Discussed Total quoted party price to be payed in CASH USD $* (required field)

    Date of party* (required field)

    Preferred Time* (required field)

    One Hour window of arrival just in case unforeseen issues arise: to

    Party Address & ZIPCODE too

    First Name

    Last Name

    Primary contact cell phone

    Back up cell phone

    What Costume (e.g School-Girl,Maid,Cop,Fire,Hotel Manager,Pizza Delivery,50 Shades Darker,Cowboy,Dr,Delivery,Suit), Superhero/Villain-Batman,Black Panther,Captain America,Deadpool,Harley Quinn,Hulk,Joker,Iron Man,Spider Man,Super girl,Superman,Thor,Wonder Woman,)Other or just dress sexy ? :

    Priority list of 3-5 dancers you like from the site, for alternates in the case issues arise ?

    What type of event (Bachelor/Bachelorette , Birthday, Night Out, Divorce, Solo, Prank):


    Full name as appears on credit or debit card* (required field) :

    Credit card number* (required field):

    Expiration date* (required field):



    Security number on back or front of card* (required field) :

    Full credit card billing address* (required field) :

    (NOT a deposit) CANCEL-fee dollar amount up to Sales Team * (required field) (Put NUMBERS only e.g. 25,100,1000)

    Zipcode* (required field) :

    Phone* (required field):

    Email* (required field)

    Sign and date print full name*: (required field)

    Docusign Signature : (Please use Mouse or Touchpad for signature below)

    Please make sure all information is correct before submitting and agreeing to Terms and Conditions above.

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