VIP Bottle Service Request Form

ALL WHITE BELAIRE BOTTLE ($150)

Mon. Aug. 6 @ Wallen Lounge
What's Included: 1 BOTTLE OF WHITE BELAIRE | PRE ORDER ONLY | 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

*3+10=

Additional Notes Privacy Policy