New Customer Registration and Payment Form
Hooper
Details:
Full Name
*
First Name
Last Name
Event Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Please Specify
*
Appointment
*
Please describe your event:
Event Options
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( X )
2 Hours
2 hours of unlimited game play
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Hour
Additional hour of unlimited game play
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Deposit
Only required if you are not paying the full amount upfront. This reserves your event date and will be applied toward your total balance.
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
All-Day Event
Up to 10 hours (including delivery, set-up, and tear-down)
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Corporate Event
Please email us at info@hooplasvegas.com for a quote.To reserve your date, simply select this option and pay the deposit.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Will you be willing to recommend us?
Yes
No
Maybe
Please give reference of any two people whom you feel would love this experience!
Full Name
Address
Contact Number
1
2
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