(Please make sure that you put attention to the correct name to avoid being charged twice)

Attention to:*

Party info:

Total quoted party price to be payed in CASH USD $*

Date of party*

Preferred Time*

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


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,Supergirl,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):

Deposit FEE

Full name as appears on credit or debit card* :

Credit card number*:

Expiration date*:


Security number on back or front of card* :

Full credit card billing address* :

(NOT a deposit) DESPOSIT-fee dollar amount * (Put NUMBERS only e.g. 25,50,75,100 etc)

Zipcode* :

Phone* :


Sign and date print full name:

I agree to the terms and conditionsI agree to the terms and conditions

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

Docusign Signature :

Upload a picture of your drivers license or other valid form of identification to validate proof of age, name & information :

Upload a picture of your Credit Card (Front Side Image) :

Upload a picture of your Credit Card (Back Side Image) :