Group Party Form
Reservation Form
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Name
*
Date Requested
*
Time Requested
*
E-Mail Address
*
Phone Number
*
Number of Players
*
Referred by
*
Select ->
Other
Ballers Inc.
Gold Cup
Sure Shot
All Star PB
If other ( Their Name )
Deposit of $185.50 required to book group
*
Charge my card $185.50
( Deposit NON-REFUNDABLE) Parties can be rescheduled with 2 week notice
*
I Understand deposit is NON-Refundable
Credit Card Number (Visa/Mastercard ONLY)
*
CVC Code
*
Exp Date
*
Zip Code
*
Add aditional (I Survived LVP dog tags) $5 each
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(
*
Required Field )