Stripper Reservation Form - Exposed Entertainment

  • Date:*
  • Preferred Time Of Arrival:
  • First Name:*
  • Last Name:*
  • Address (Party Location):
  • Apt/Unit #:
  • State:
  • Zip Code:
  • Email Address:*
  • Primary Phone:*
  • Alternate Phone:
  • Location Phone (At Party):
  • Stripper(s) Requested:
  • Choice #2:
  • Choice #3:
  • Alternate Stripper(s) Requested:
  • Choice #2:
  • Choice #3:
  • # of Strippers Requested
  • Costume Choice (For Male Strippers)
  • Costume Choice (For Female Strippers)
  • Type of Party:
  • Number of Guests:
  • Age Range:
  • How did you find us?
  •  

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