Name
*
Match Government Issued ID
Email
*
example@example.com
Cell Phone Number
*
(123) 456-7890
What is the trip occasion?
*
ie: Birthday, Bachelor/Bachelorette, Anniversary, Guys/Girls Trip
Arrival Date
*
Departure Date
*
# of Men in Group
*
# of Women in Group
*
Total Number of Guests
*
What is your budget?
*
Is your budget per person or for the entire trip?
*
Per Person
Entire Trip
What Are You Requesting? (You May Make Multiple Selections)
*
Dayclub
Gentlemen's Club
Hotel Room Reservation
IVs
Nightclub
Off-Strip Excursions
Private Car Service (ie: Airport Pick-Up, Limo, Party Bus, etc.)
Restaurant Reservation
What Genre of music do you prefer? (You May Make Multiple Selections)
*
EDM
Hip/Hip
Top 40
Country
Other
Other
What do you want to book? (You May Make Multiple Selections)
*
Table/Bottle Service
VIP Walk-ins
Guestlist
Which Dayclubs are you interested in? (You May Make Multiple Selections)
*
Ayu Dayclub
Encore Beach Club
Lavo Brunch
Liquid Pool
LIV Beach
Marquee Dayclub
Omnia Beach Club
Palm Tree Beach Club
Stadium Swim
Tailgate Beach Club
Tao Beach Club
Other
What day do you plan to dayclub? (You May Make Multiple Selections)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Which Nightclubs are you interested in? (You May Make Multiple Selections)
*
EBC at Night
Hakkasan Nightclub
Jewel Nightclub
LIV Nightclub
Marquee Nightclub
Omnia Nightclub
Stadium Swim
Tao Nightclub
XS Nightclub
Zouk Nightclub
Other
What night do you plan to nightclub? (You May Make Multiple Selections)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Which Gentlemen Clubs are you interested in? (You May Make Multiple Selections)
*
Crazy Horse 3
Hustler
Peppermint Hippo
Sapphire
Spearmint Rhino
Other
Other
Which Restaurants are you interested in? (You May Make Multiple Selections)
*
Beauty & Essex
Caramella Italian Restaurant & Lounge
Hakkasan Restaurant
Kassi Beach House
Lavo Restaurant
Stanton Social Prime
TAO Asian Bistro
Other
Other
Which Off-Strip Activities are you interested in? (You May Make Multiple Selections)
*
ATV
Axe Throwing
Blow Up A Monster Truck
Helicopter
Jeep Tours
Shooting Range - Indoor
Shooting Range - Outdoor
Race Exotic Cars
Rent Exotic Cars
Other
Other
Hotel Request
*
ie: Resorts World, Venetian/Palazzo, Wynn/Encore, MGM Properties, Caesars Properties
What Type of Room do you need? (You May Make Multiple Selections)
*
1 King Bed
2 Queen Bed
1 Bedroom Suite
2 Bedroom Suite
Other
Other
Number Of Rooms
*
Hotel Descriptions/Special Requests
Do you have any special requests?
Host Email
example@example.com
Submit
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