| CONTACT
Information |
| Contact
Name: |
|
| Your
Phone #: |
(A/C
- ###-####) |
| Your
email: |
|
| Where
are you staying in Vegas: |
|
| Room
# (If Known) |
|
| How
did you hear about us? |
|
|
Ticketing
Information
|
| Show
Date: |
Shows: 7:30PM
DOORS OPEN 6PM |
|
|
|
Number
of Tickets & Seating:
|
|
VIP Admission:
|
$88.00 ea
NV RESIDENTS - $77.00 (Must show ID)
|
| General Admission: |
|
|
Children:
|
$49.00 ea (12 years or younger) |
|
|
|
|
Special
Occasion Information:
Birthdays,
Anniversaries,
Divorces, etc... Let us Know!
|
|
|
BILLING
INFORMATION
|
| Credit
Card Type: |
|
Card
Number:
|
NUMBERS ONLY No Dashes or SPACES
IF You
DON'T want to send Credit Card Info over the Internet
Print Out this
Form and CALL 702-258-7674 |
| Expiration
Date: |
/
|
| CVV2
/ CVC2 / CID |
The 3 digit code on the
back of Visa/MC or the 4 digit code on front of Am-Ex cards |
| Name
on Card: |
|
| Billing
Address: |
|
| City: |
|
| State,
ZIP: |
|
| |
|