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HOLLYWOOD GUEST LIST RESERVATIONS

* Required Fields
We recommend to fill out all fields below.
The optional fields below can only help with your reservation.

FIRST NAME:*

LAST NAME:*

GENDER:*
Male Female

VIP TABLE / BOTTLE SERVICE:*
Yes No Maybe

PHONE:*

EMAIL:*

DATE:*
/ / (mm/dd/yyyy)

or Pick A Date From Calendar

NAME OF CLUB, BAR or LOUNGE:*

NUMBER OF GUESTS:* (don't include yourself)

Gentlemen:
Ladies:

FACEBOOK:** (optional)
Enter email address or Facebook URL

OTHER SOCIAL NETWORK:** (optional)
(ex. MySpace, LinkedIn, asmallworld, twitter)

Email Address or Social Network URL:

**Facebook or other social network submission highly recommended so you may be recognized in the crowd and pulled into the club.

PERSONAL MESSAGE: (optional)

BIO: (Occupation & Industry) (optional)

BIRTHDAY: (optional)
Let us help you plan your special day.

Reservations are not guaranteed until confirmed.

We will contact you after you submit your reservation.

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