Male Stripper Magic Order Form

Tell Us About Your Party

What's The Occasion *

Number of Ladies Attending *

Average Age Range *

Special Notes And Requests

How Did You Hear About Us? *

Date of Event (WARNING: This is a Mon-Sun calendar) *

WARNING! THIS IS A MONDAY-SUNDAY CALENDAR! DO NOT SELECT THE WRONG DATE!

He Can Arrive Anytime Between *

Location Type or Name *

Event Address *

City *

State *

Zip Code *

WARNING: Must match on the following payment page to avoid order issues.

First Name *

Last Name *

Email *

Phone *

Note: Secondary contact cannot be you and they will receive text updates.

Secondary First Name

Secondary Last Name

Secondary Phone