By filling out this form you ARE NOT committed to the show until after we contact you and there is no need to add you credit card information, we accept cash. After submitting we will contact the entertainers and see who is available and we guarantee that we will contact you back within 24 hours to let you know, go over the information and answer any other questions you may have.

*Contact Name
*E-mail Address
*Contact Phone Number
Second Phone Number
(party phone number)
*Party Address
*Party City
Party Zip Code
Major Cross Streets
*Party Date and Time
Party Rating
Party Type
Guest of Honor
Number of Guests
Crowd Type
*Number of Entertainers
Entertainer Choice One
Entertainer Choice Two
Entertainer Choice Three
Entertainer Choice Four
Costume Choice One
Costume Choice Two
Is your party a surprise
 Y N
*Payment Type
Card Type
Name as appears on card
Card Number
Card Expiration Date
mm/yy
How did you hear about
Explicit Strippers?
Questions, Comments or Requests