NIGHTCLUB VIP ACCESS - AEG HOSPITALITY GROUP

NAME OF AEG VENUE YOU ARE LOOKING TO GET ON THE LIST FOR *

Name *

First

Last

Day *

Please Enter Day

Month

Please Enter Month

Year *

Please Enter Year

Email *

How many people will be joining you in your party? *

How many females are in your party? *

Select the # of woman in your party

How many Males are in your party ? *

Select the # of woman in your party

Do you wish to order bottle service and reserve a table *

AEG VIP HOST WILL CONTACT YOU TO DISCUSS WHAT IS INCLUDED IN VIP BOTTLE SERVICE PACKAGES AND TAKE YOUR PRE ORDER

How many bottles do you wish to order *

Select the # of woman in your party

Any additional special requests or questions? *

How did you find out about us? *

How would you like to receive guest list confirmation ? *