Full Name:
*
First Name
Last Name
Phone Number:
*
-
Area Code
Phone Number
Email Address:
*
Confirmation Email
Company (If Applicable):
Tax Exempt
Yes
No
Desired Date
*
-
Month
-
Day
Year
Date
Desired Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Desired End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Number of Hours Total (Must Include Set Up/Clean Up)
*
Please Describe Your Event: Include All Event Details.
*
Which of the following are being requested?
1930 E. Carson St ($125/hr)
1918 Murray Ave. ($100/hr)
Smoking (No Additional Charge)
Hookah ($250+)
Photo Booth (Varies)
Other
Budget— Please Review Pricing On Website And Include Total Amount Budgeted
*
Capacity Needed
*
Have You Reviewed Policies and Pricing? You will be held to all policies - they are listed on our website.
*
Are you ready to make the half deposit to secure your date? (If your inquiry date is within 3 weeks, the full amount is due upon booking)
*
All Renters Must Be 21+. Are you 21+? 18 and under must be accompanied by an adult over 21.
*
Yes
No
I certify that the above is accurate and I am aware that I will be held to the above standards.
Signature
Submit
Should be Empty: