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Serenading Strip Booking Form
*
Required
Title
DR
MISS
MR
MRS
MS
First Name
*
Last Name
*
Email Address
*
Home Phone Number
*
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
Address
Type of Performance
-- Please select --
Serenading Full Nude Strip
Serenading Strip to G-string
Deposit Amount is $100
to confirm booking
Deposit Amount
*
Credit Card Type
*
-- Please select --
Visa
Mastercard
Name on the Card
*
Number on the Card
*
Expiry Date : MM/YY
*
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