VIP Bottle Service Request Form

Smirnoff Vodka ($100)

Fri. Sep. 4 @ West 50 Lounge
What's Included: $4.00 Bar Rails | $4.00 Hypnotiq Shots | 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

*10+2=

Additional Notes Privacy Policy