VIP Bottle Service Request Form

Social & Dance Bottle ($400)

Fri. Jan. 13 @ The Empire Supper Club Nightclub
What's Included: Min Spend $400, Mixers, VIP TABLE | 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

*6+8=

Additional Notes Privacy Policy