VIP Bottle Service Request Form

Ladies Night (groupsof 5 or more females) ($0)

Sundays @ Lily Lounge Nightclub
What's Included: Free entry | champagne | 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

*10+10=

Additional Notes Privacy Policy