Order Form for Affiliates Only

"*" indicates required fields

CONTACT INFO

CUSTOMER NAME*

First Last

PHONE

SERVICE DETAILS

Choose a Service Category*

WHICH SERVICE WOULD YOU LIKE TO ORDER? (For Men)

WHICH SERVICE WOULD YOU LIKE TO ORDER? (For Women)

WHICH SERVICE WOULD YOU LIKE TO ORDER? (For LGBT)

For Party Bus Packages, please to go: https://www.partyonwheels.org and choose PACKAGES from the navigation menu and then enter the details of the specific package you want to order below.

Party Bus Package Details

Which option would you like? (Solo/Couple's Romance)

Which option would you like? (Bachelor Party Strippers)

Which option would you like? (Golf Caddy Girls)

Which option would you like? (Card Dealers)

Book 2 dealers for 10% discount Book 3 or more dealers for 15% discount

Which option would you like? (Draft Party Girls)

Book 2 party girls for 10% discount Book 3 or more party girls for 15% discount

Which option would you like? (Sexy Server)

Book 2 sexy servers for 10% discount Book 3 or more sexy servers for 15% discount

Which option would you like? (Karaoke Girls)

Which option would you like? (Massage Therapists)

For Men, Women and LGBT

Which option would you like? (Party Strippers)

Which option would you like? (Buff Butlers etc)

For Women and LGBT

Which option would you like? (Solo/Couple's Romance)

For Women and LGBT

Which LGBT option would you like? (Bachelor Party Strippers)

Which LGBT option would you like? (Golf Caddy Boyz)

Which LGBT option would you like? (Card Dealers)

Book 2 dealers for 10% discount Book 3 or more dealers for 15% discount

Which LGBT option would you like? (Karaoke Boyz)

How many entertainers would you like?*

Preferred Entertainers

(You can change dancers later if needed)

RESERVATION DETAILS

RESERVATION DATE*

RESERVATION TIME*

CAN START AS LATE AS*

You can enter the same starting time if there are no other options

Length of Time*

For Bachelor Party Strippers , put down:
VIP: 2 hours Elite/Ballers: 3 hours

*If client asks, the minimum time the dancers will stay at the party is:
VIP: 1 hour
Elite: 1.5 hours
Ballers: 2 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*

# OF FEMALE GUESTS*

SPECIAL INSTRUCTIONS FROM CLIENT

Add to Office Notes

These notes are confidential and for the office staff only

PROMO CODE*

(Affiliate Tracking ID so we can track the referral)