Online Reservation Form

This is for online bookings only.

 If you are not sure you want to make a reservation please do not fill out this form.

If you cancel this reservation there will be a $25-50 cancellation fee, as there is with any other booking.

If you have any questions before you reserve your dancer or are just making an inquiry ,

please call us at 866-404-4401 or email at XposedEntertainment@hotmail.com

Thank You

Your Name:

Your E-Mail address:

Telephone Number:

Date & Time of party:

Party Address:

Type of Party:

# of Guests:

# of Dancers:

Comments/Dancer Requested

 Please choose a back up or alternate for every dancer being reserved:

How did you hear about our web site?
---- Please select one ---- Google Yahoo 101 exotic dancers Word of Mouth/Friend business card Saw other dancers