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The Bachelor Party Hook Up Booking Form
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1
Driving Distance Calculator
Use this tool to help you calculate the distance between the event and our serviced areas. Metro Areas:
Alabama
: Huntsville, Birmingham, Mobile -
Alaska:
Anchorage -
Arkansas:
Little Rock -
Arizona:
Scottsdale, Tucson, Phoenix -
California:
Palm Springs, Fresno, San Diego, San Francisco, Los Angeles, San Clemente -
Colorado:
Colorado Springs, Denver -
Connecticut:
Bridgeport, Hartford, Stamford, New Haven -
Florida:
Daytona, Miami, Miami Beach, St. Petersburg, Jacksonville, Orlando, Tampa, Ft. Lauderdale -
Georgia:
Atlanta, Savannah -
Hawaii:
Honolulu -
Illinois:
Chicago -
Idaho:
Boise -
Indiana:
Indianapolis, Ft. Wayne -
Iowa:
Cedar Rapids, Davenport, Des Moines -
Kansas:
Overland Park, Wichita -
Kentucky:
Lexington, Louisville -
Louisiana:
Baton Rouge, Metairie, New Orleans -
Maine:
Portland -
Maryland:
Baltimore -
Massachusetts:
Boston, Springfield -
Michigan:
Detroit, Grand Rapids -
Minnesota:
Minneapolis, St. Paul -
Missouri:
Springfield, Kansas City, St. Louis, Columbia -
Mississippi:
Jackson -
Nebraska:
Omaha, Lincoln -
Nevada:
Las Vegas, Reno -
New Hampshire:
Manchester -
New Jersey:
Atlantic City, Garfield -
New Mexico:
Albuquerque -
New York:
Manhattan, Buffalo, Staten Island -
North Carolina:
Charlotte, Raleigh, Greensboro -
Ohio:
Cincinnati, Cleveland, Columbus, Dayton, Toledo -
Oklahoma:
Oklahoma City, Tulsa -
Oregon:
Portland -
Pennsylvania:
Philadelphia, Allentown, Pittsburg -
Rhode Island:
Providence -
South Carolina:
Charleston, Columbia, Greenville, Myrtle Beach, Spartanburg -
Tennessee:
Nashville, Memphis, Knoxville -
Texas:
Austin, El Paso, Houston, San Antonio, Fort Worth, Dallas, Corpus Christi, Arlington -
Utah:
Salt Lake City, West Valley City -
Virginia:
Virginia Beach, Richmond, Norfolk, Chesapeake, Washington, DC -
Wisconsin:
Milwaukee, Madison, Green Bay -
Washington:
Seattle, Spokane
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2
Event Location
*
This field is required.
Option 1 - Party is in a Metro Area.
Option 2 - Party is over 10 Miles from a Metro Area
Option 3 - Party is over 30 Miles from a Metro Area
Option 4 - Party is over 50 Miles from a Metro Area
Option 5 - Party is over 75 Miles from a Metro Area
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3
Entertainer Style
*
This field is required.
Stripper/Dancer
Lingerie Bartender/Server
Topless Bartender/Server
All Nude Bartender/Server
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4
How many entertainers?
*
This field is required.
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5
Total
*
This field is required.
Only 50% of this total will be charged on your credit card. The 50% balance is due in cash to the entertainer upon arrival.
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6
Required 50% Deposit now. 50% Balance to be paid in CASH upon arrival
*
This field is required.
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7
Preferred Ethnicity
*
This field is required.
Caucasian
Latin
African American
No preference/Any
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8
Event Type
*
This field is required.
Bachelor Party
Birthday Party
Guy's Night
Corporate Party
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9
Contact Person
*
This field is required.
First Name
Last Name
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10
Cellphone Number
*
This field is required.
Area Code
Phone Number
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11
Backup Phone Number
Please give us a secondary contact number in case we cannot reach you. If you don't have one please repeat the primary number.
Area Code
Phone Number
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12
Event Date
*
This field is required.
Date
Month
Day
Year
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
15
30
45
00
15
30
45
Minutes
AM
PM
AM
AM
PM
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13
E-mail Address
*
This field is required.
example@example.com
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14
Event Location
*
This field is required.
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15
How many people do you expect to be in attendance?
*
This field is required.
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16
Special Instructions
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Underline Copy
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17
Payment Due Now (50%)
prev
next
( X )
Description
USD
+ OR enter a custom value
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18
Click To Agree & Book
*
This field is required.
I acknowledge there are no refunds on deposit & I agree to pay the balance to the entertainer upon arrival in cash.
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19
Payment Methods
Debit Or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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