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Male Stripper Booking Form
*
Required
Title
DR
MISS
MR
MRS
MS
First Name
*
Last Name
*
Email Address
*
Cell Phone Number
*
Male Stripper of Choice
*
2nd Preference Stripper/s
*
Address
*
Date of Performance
*
Time of Performance
*
-- Please select --
8.30am
9.00am
9.30am
10.00am
10.30am
11.00am
11.30am
12.00pm
12.30pm
1.00pm
1.30pm
2.00pm
2.30pm
3.00pm
3.30pm
4.00pm
4.30pm
5.00pm
5.30pm
6.00pm
6.30pm
7.00pm
7.30pm
8.00pm
8.30pm
9.00pm
9.30pm
10.00pm
10.30pm
11.00pm
11.30pm
12.00am
12.30am
Any Special requests
Whats the Occasion
*
Type of Performance
*
-- Please select --
Full Nude Performance
Strip to G-String Performance
Deposit amount of $100
to confirm booking
Deposit Amount
*
Type of Card
*
-- Please select --
Visa
Mastercard
Name on the Card
*
Card Number
*
Expiry Date : Month and Year
*
4 Play Model of the Month
Hens Night Packages
Rave Reviews