VIP Bottle Service Request Form

100 Min Spend ($100)

Tuesdays @ Ultra Violet Night Club ( Located on Queen St. W )
What's Included: Mixers, Table, VIP Area, Host | 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

*9+8=

Additional Notes Privacy Policy