(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

    ADDRESS of Party & ZIPCODE

    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) :