LANA'S LIST

LANA'S LIST

Incorporated with SOCIAL VIBEZ SERVICES
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date Of Event?

MonthDayYear
Date
Start Time?

Hour Minutes

AM/PM Option
End Time?

Hour Minutes

AM/PM Option
Address Of Event?

Name of Venue or Company

Street Address

CityState / Province

Postal / Zip Code
Service Requesting?
How many of each service?
Do you need buckets?
Do you need sparkles?
Special Request?
There is a nonrefundable $40 deposit to secure the date. Once deposit has been paid, you'll receive an invoice via email with the balance; which is due no later than the day of service.
Signature
Secure Event Date

prevnext( X )
USDSecure Date

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

There is a nonrefundable $40 deposit to secure the date. Once deposit has been paid, you'll receive an invoice via email with the balance; which is due no later than the day of service.