The Bachelor Party Hookup - Entertainer Booking Form

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Custom Quote* This field is required.
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Processing FeeUSD
SubtotalUSD
Total costUSD
2 Dancers - $500 Deposit now + taxes + $600 cash on arrival
$500.00+Edit
Back
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Quantity
White
White
African American
Latin
No Preference
Preferred Ethnicity
Subtotal: $0.00
Total cost $0.00
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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Event Date & Time for Arrival* This field is required.
Date
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Day
Year
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Hour
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Minutes
PM
AM
PM
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Contact Person* This field is required.
First Name
Last Name
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Cellphone Number* This field is required.
Area Code
Phone Number
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Backup Phone NumberPlease 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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E-mail Address* This field is required.
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Event Address* This field is required.Start typing the location where the dancer is traveling to. If you don't know exact location please input the city only.
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How many people do you expect to be in attendance?
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Special Instructions
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Click To Agree & Book* This field is required.
I acknowledge there are no refunds on deposit & I agree to pay the balance to the entertainer upon arrival in cash.
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