VIP Bottle Service Request Form

GREY GOOSE SPECIAL ($150)

Saturdays @ Salute Piano Bar Lounge
What's Included: 1 GREY GOOSE 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

*6+2=

Additional Notes Privacy Policy