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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
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):
Proof of Partial Payment (this is your card) (NON-REFUNDABLE) : (Please use Mouse or Touchpad for signature below)
Being the cardholder or Corporate Officer, by signing this proof of purchase, I understand and agree to the terms set forth in this agreement, agree to pay, and specifically authorize to charge my credit card, for the products or services provided. I further agree that in the event my credit card becomes invalid, I will provide a new valid credit card upon request, to be charged for the payment of any outstanding balances owed. I furthermore confirm that I have received all services and goods to satisfactory conditions.