(Please make sure that you put attention to the correct name to avoid being charged twice)
Attention to:* —Please choose an option—Sean MichaelCherSean M
Party info:
Total quoted party price to be payed in CASH USD $*
Date of party*
Preferred Time*
One Hour window of arrival just in case unforeseen issues arise: to
ADDRESS of Party & ZIPCODE
First Name
Last Name
Primary contact cell phone
Back up cell phone
What Costume (e.g School-Girl,Maid,Cop,Fire,Hotel Manager,Pizza Delivery,50 Shades Darker,Cowboy,Dr,Delivery,Suit), Superhero/Villain-Batman,Black Panther,Captain America,Deadpool,Harley Quinn,Hulk,Joker,Iron Man,Spider Man,Supergirl,Superman,Thor,Wonder Woman,)Other or just dress sexy ? :
Priority list of 3-5 dancers you like from the site, for alternates in the case issues arise ?
What type of event (Bachelor/Bachelorette , Birthday, Night Out, Divorce, Solo, Prank):
Deposit FEE
Full name as appears on credit or debit card* :
Credit card number*:
Expiration date*:
Month:
Year:
Security number on back or front of card* :
Full credit card billing address* :
(NOT a deposit) DESPOSIT-fee dollar amount * (Put NUMBERS only e.g. 25,50,75,100 etc)
Zipcode* :
Phone* :
Email*
Sign and date print full name:
I agree to the terms and conditionsI agree to the terms and conditions
Please make sure all information is correct before submitting and agreeing to Terms and Conditions above.
Docusign Signature :
Upload a picture of your drivers license or other valid form of identification to validate proof of age, name & information :
Upload a picture of your Credit Card (Front Side Image) :
Upload a picture of your Credit Card (Back Side Image) :