Wild Reservations Form (office staff only) "*" indicates required fields CONTACT INFOCUSTOMER NAME* First Last PHONEEMAIL SERVICE DETAILSChoose Agency*PLEASE CHOOSEStriptainersLove BunniesPlaygirlsFantasy DateLorem ServoDream BoyzParty On WheelsChoose Agency Again*PLEASE CHOOSEStriptainersLove BunniesPlaygirlsFantasy DateLorem ServoDream BoyzParty On WheelsWHICH SERVICE WOULD YOU LIKE TO ORDER? (Love Bunnies)PLEASE CHOOSESolo BunnyCouples RomanceBachelor Party StrippersDraft Party GirlsGolf Caddy GirlsCard DealersTopless WaitressAtmosphere ModelsFetish & FantasySushi ModelVirtual StripperKaraoke GirlsBurlesque DancerWet & Wild BunniesWHICH SERVICE WOULD YOU LIKE TO ORDER? (Striptainers)PLEASE CHOOSEParty StripperSolo StripperCouples RomanceVirtual StripperFetish & FantasyWHICH SERVICE WOULD YOU LIKE TO ORDER? (Lorem Servo)PLEASE CHOOSEBuff ButlerSexy ServerBuff BartenderSexy BartenderSushi ModelShot Guy/GirlWhich option would you like? (Buff Butlers)Buff Butler (Pants On $100/hour)Buff Butler (Bootie Shorts $125/hour)Buff Butler (Apron Only $150/hour)Buff Butler (Full Nude $250/hour)Which option would you like? (Solo Bunny/Couple's Romance)30 min - $3001 hour - $5002 hours - $900Which option would you like? (Golf Caddy Girls)1 hour ($200)2 hours ($300)3 hours ($380)4 hours ($460)5 hours ($550)6 hours ($600)VIP Package ($1,500)Elite Package ($2,100)Ballers Package ($2,700)Pinnacle Package ($3,700)Which option would you like? (Bachelor Party Strippers)VIP / Lingerie ($200/girl)Elite / Pasties ($300/girl)Platinum / Topless ($400/girl)Ballers / Nude ($500/girl)Illuminati / Nude ($800/girl)Which option would you like? (Card Dealers)Bikini or Lingerie ($100/hour)Pasties ($125/hour)Topless ($150/hour)Fully Nude ($250/hour)Basic Folding Table: $75/hourProfessional Card Table $125/hourBook 2 dealers for 10% discount Book 3 or more dealers for 15% discountWhich option would you like? (Draft Party Girls)Bikini or Lingerie ($100/hour)Pasties ($125/hour)Topless ($150/hour)Fully Nude ($250/hour)Bronze Package: $600Silver Package: $1000Gold Package: $1400Book 2 party girls for 10% discount Book 3 or more party girls for 15% discountWhich option would you like? (Topless Waitress)Bikini or Lingerie ($100/hour)Pasties ($125/hour)Topless ($150/hour)Fully Nude ($200/hour)Book 2 sexy servers for 10% discount Book 3 or more sexy servers for 15% discountWhich option would you like? (Solo Bunny/Couple's Romance)30 min ($300/girl)1 hour ($500/girl)2 hours ($900/girl)Which option would you like? (Karaoke Girls)Elite Package ($1,000)Ballers Package ($2,000)Super VIP Package ($3,000)Happy Hour (Medium) $100/hrHappy Hour (Large) $150/hrHappy Hour (VIP) $200/hrWhich option would you like? (Massage Therapists)Deep Tissue Massage $150 for 60min. $200 for 90min $250 for 2 hoursSwedish Massage $150 for 60min. $200 for 90min $250 for 2 hoursHot Stone Massage $150 for 60min. $200 for 90min $250 for 2 hoursSports Massage $150 for 60min. $200 for 90min $250 for 2 hoursCouple's Massage $150 for 60min. $200 for 90min $250 for 2 hoursHow many entertainers would you like?*12345678910 or morePreferred Entertainers (You can change dancers later if needed) RESERVATION DETAILSRESERVATION DATE* MM slash DD slash YYYY DAY OF THE WEEK*PLEASE CHOOSESundayMondayTuesdayWednesdayThursdayFridaySaturdayRESERVATION TIME* Hours : Minutes AM PM AM/PM LENGTH OF TIME*15 min30 min45 min1 hour2 hours3 hours4 hours5 hours6 hours7 hours8 hours9 hours10 hours11 hours12 hoursFor Bachelor Party Strippers, put down: VIP: 30 min Elite: 45 min Platinum: 1 hour Ballers: 2 hours Illuminati: 3 hours If client wants the dancers to stay longer, they just need to keep tipping the girls.LOCATION* You can put "TBD" if unknown# OF MALE GUESTS*PLEASE CHOOSE0123456789101112131415161718192021222324252627282930 or moreTBD# OF FEMALE GUESTS*PLEASE CHOOSE0123456789101112131415161718192021222324252627282930 or moreTBDSPECIAL INSTRUCTIONS FROM CLIENT Add to Office Notes How did you find us?*PLEASE CHOOSEGoogle SearchFacebookInstagramReferralRepeat CustomerNot Sure (Ask Later)PROMO CODE (enter affiliate promo code if this sale was referred)Booking Agent*ChristinaLaraLeanaTeresaSteve
