VIP Bottle Service Request Form

19% Gratuity will be added

Please fill out the form below to request VIP & Bottle Service. A representative from the club will contact you to confirm your booking.

*Name (first & last) *Best Time to Call Best Way to Contact You Email Phone

Select Method

• Email
• Phone

*Event Date Tuesday April 8th Tuesday April 15th Tuesday April 22nd Tuesday April 29th Tuesday May 6th Tuesday May 13th Tuesday May 20th Tuesday May 27th Tuesday June 3rd

Select Date

• Tuesday April 8th
• Tuesday April 15th
• Tuesday April 22nd
• Tuesday April 29th
• Tuesday May 6th
• Tuesday May 13th
• Tuesday May 20th
• Tuesday May 27th
• Tuesday June 3rd

*Email Phone Number Number of People 1 2 3 4 5 6 7 8 9 10

Select Number

• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

*2+9=

Additional Notes Privacy Policy

* Please see above for required items.