VIP Bottle Service Request Form

BIRTHDAY PACKAGES (+ADDITIONAL CHARGES APPLY) ($850)

Sat. May. 18 @ Rebel
What's Included: Balloons & Decorations Cake & Party Favours Dedicated Booth and Admission for you and your guests Champagne Premium Spirits Juice & Pop Mixes | 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+9=

Additional Notes Privacy Policy

BIRTHDAY PACKAGES (+ADDITIONAL CHARGES APPLY)

VIP Bottle Service Request Form

BIRTHDAY PACKAGES (+ADDITIONAL CHARGES APPLY) ($850)

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