ON LINE ORDER FORM, male,female,exotic,dancers,bachelor,bachelorette

WILDSTRIP.SOM

800-456-3380

ON LINE ODER FORM

Client Booking Informtion :
First Name:	Last Name:
Address1:	Address2:
City:	State: Zip
Home Phone:	Cell Phone:
Business:	Contact Phone:
Email:	How did you hear about us?

Event Information:
Location of Event (Venue if not a residence):	Phone Number of Location:
Location Address	Room Number of Event:
City:	State: Zip:
Contact Person:	Name of Contact Person 2:
Phone Number:	Phone Number:
Guest of Honor:
Date of Event: Month Day Year	Type of Event
Time you would like entertainer to arrive :	How many entertainers do you need?
Length of Show: Shows longer that an hour need special attention. Please contact the office directly.	Number of Guest:

Bookings with less than 24 hours notice must be handled by a customer service representative!!

Please call 800-491-4155 for last minute bookings.

Additional Information:
Type of Entertainer Needed: (select all that may apply)	Costumes:
Male Stripper	Cop
Female Stripper	Tux
2-Girl Show	Construction Worker
Belly Dancer	Pizza Delivery
Chunky	Waiter
Little People	Waitress
	Doctor
	Fireman
	Reguler Attire as Guest of Party
	Other Costumes
Special Instruction:

PLEASE NOTE EVERY PERFORMER ON THIS SITE WILL TRAVEL TO THE STATES WE SERVICE. WE DO NOT SUB-CONTRACT OUR WORK TO OUT OF STATE AGENCIES.

All Entertainers Depicted on this Web Site are of Legal Age 18 Years of Age or Older. We do not provide escorts or escort services. You must be 18 years or older to book any entertainer.