VIP Bottle Service Request Form

Bottle Service For Music Is Me Pre-Order ONLY!! ($150)

Sat. Jun. 6 @ ON THE ROX Nightclub
What's Included: Ciroc (option 1) | Hennessy (option 2) | Appelton (option 3) | Comes with a Free Booth | Tax and Tip Included

Please fill out the form below to request VIP & Bottle Service. A representative from the club will contact you to confirm your booking.

*Name (first & last) *Best Time to Call Best Way to Contact You

*Event Date

*Email Phone Number Number of People

*3+2=

Additional Notes Privacy Policy

Bottle Service For Music Is Me Pre-Order ONLY!!

VIP Bottle Service Request Form

Bottle Service For Music Is Me Pre-Order ONLY!! ($150)

Instagram / clubcrawlers

On Facebook

Newsletter Signup