BOOK YOUR SESSION
Strippers(s)
~*~ Contact Details ~*~
Name
*
First Name
Phone Number
*
-
Area code
Phone Number
E-mail
*
Prefer to Contact
phone
e-mail
either
\*/-Function Details-\*/
age range
19-30
31-40
41-80
#of Guests
1-5
6-10
11-15
16-20
21-26
27-32
Special Person
Name
Type of Event
Bachelor (stag)
Birthday
Surprise
Divorce
other
Date
*
-
Month
-
Day
Year
Date
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
\*/Pick Your Top 2 Models\*/
Models
Duration & Location
Desired Duration ~
1hr$300/girl
1.5hrs$450/girl
2hrs$600/girl
2.5hrs$750/girl
3hrs$900/girl
3.5hrs$1050/girl
Vancouver ONLY~
Address
*
Street Address
room #l /unit #
City
*/Additional Details / Requests:*/
By signing (draw your signature) below I certify that I am at least 19 years of age.
*
Submit
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