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Dancer Request Form

We will make every effort to ensure the exotic dancer you requested is available. However, due to demand, it is practically impossible to guarantee a specific dancer. The key is to prepare in advance. The earlier you commit to a date, time and party location, as well as schedule your dancer, the better the chances your dancer will be available for your event. We strongly suggest you choose 3 dancers just in case your first choice is unavailable.

Note: Travel expenses maybe required depending on where the entertainer(s) lives.

	* - required fields n/a - not applicable

*Full Name ::
*Street Address ::
*City ::
*State ::
*Zip Code ::
*Phone Number ::
Cell Phone Number ::
Pager Number ::
*Contact eMail ::
*Type of Party ::	Bachelor Bachelorette Birthday Retirement Farewell
	Nightclub Review Promotion Divorce Party Bus Other
*How Many Attending? ::
*Date of Event ::	XX-XX-XXXX
*Type of Dancer(s) ::	Solo Male Solo Female Girl/Girl
*Style ::	Female Bikini Female Topless Female Fully Nude
	Male G-String Male Nude
*Dancer Choice #1 ::
*Dancer Choice #2 ::
*Dancer Choice #3 ::
*Questions, Requests and Comments ::


*How did you hear about us? ::	Google Yahoo MSN Friend Online Directory
	Showtime's Family Business Other:


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