VIP Bottle Service Request Form

Ultra Violet VIP ($1,000)

Tue. Dec. 31 @ Ultra Violet Night Club ( Located on Queen St. W )
What's Included: $1000 min spend, VIP designated area, 2 bottles min, mixers inluded | 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+1=

Additional Notes Privacy Policy

VIP Bottle Service Request Form

Ultra Violet VIP ($1,000)

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