VIP Bottle Service Request Form

Substitute Regular Liquor for Premium ($75)

Sun. Dec. 31 @ Island Nightclub Nightclub
What's Included: 1 Bottle | Tax and Tip Not 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

*4+2=

Additional Notes Privacy Policy