VIP Bottle Service Request Form

Premium Plus Package ($460)

Fri. Aug. 2 @ LUXY Nightclub
What's Included: Any Ciroc Flavours | 2 Premium Bottles of Choice | Complimentary Hookah | Private Booth | Tax and Tip 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+8=

Additional Notes Privacy Policy

VIP Bottle Service Request Form

Premium Plus Package ($460)

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