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Booze N Brush Booking Form
Hire a Model and/or Instructor to Go
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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: Metro Areas: Montreal, Ontario, Vancouver, Ottawa, Calgary, Edmonton, Quebec City, Winnipeg.
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2
Event Location
*
This field is required.
Required 50% Deposit now. 50% Balance to be paid in CASH upon arrival
Option 1 - up to 10 Kilometers from a Metro Area - CA$400
Option 2 - up to 30 Kilometers from a Metro Area - CA$450
Option 3 - up to 50 Kilometers from a Metro Area - CA$500
Option 4 - up to 75 Kilometers from a Metro Area - CA$550
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3
Entertainer Style
*
This field is required.
Male Model
Female Model
Male Instructor
Female Instructor
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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
Taxes
*
This field is required.
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7
Required 50% Deposit now (with taxes). 50% Balance to be paid in CASH upon arrival
*
This field is required.
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8
Balance Due
*
This field is required.
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9
Preferred Ethnicity
*
This field is required.
Caucasian
Latin
African American
No preference/Any
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10
Event Date & Arrival Time
*
This field is required.
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Date
Month
Day
Year
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Hour
00
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45
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Minutes
AM
PM
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PM
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11
Contact Person
*
This field is required.
First Name
Last Name
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12
Cellphone Number
*
This field is required.
Area Code
Phone Number
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13
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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14
E-mail Address
*
This field is required.
example@example.com
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15
Event Location
*
This field is required.
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16
How many people do you expect to be in attendance?
*
This field is required.
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17
Special Instructions
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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18
50% Deposit Payment
*
This field is required.
50% Balance Due in Cash on arrival
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Description
CAD
+ OR enter a custom value
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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19
Click To Agree & Book
*
This field is required.
I acknowledge there are no refunds on deposit & I agree to pay the 50% balance to the model upon arrival in cash.
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20
Referrer
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Booze N Brush - Model and/or Instructor Booking
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