Private Party Order Form $299 - www.OmenWichitaStrippers.com Male Strippers

Date of Event (Example: mm/dd/yy)

1 Hour Flexible Window Of Arrival for HIS Flexibility. Your party must be ready immediately upon his arrival. He may not wait to begin. (Example: 7:00 - 8:00PM)

Your Prefered Time Of His Arrival Within The 1 Hour Window

Event Location - Full Street Address With City, State & Zip Code (Include name of hotel or business if its not a residence)

Occasion & Name Of Person The Party Is For

Number Of Ladies & Average Age Range

Other Special Requests (Instructions, costume etc.)

Phone Number of Person Responsible For Booking & Cash Balance

Alternate Phone Number of Another Person Attending Party

How Did You Hear About Us

Email address

I will also enter this email into the notes field on the following payment page

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