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Jewel Nightclub • Table Reservation Form
Upon submission of this form, you will be assigned a Jewel Nightclub host/ess who will provide the table pricing options for you and your group.
Requested date of reservation:
*
MM
/
DD
/
YYYY
Primary Contact Name
*
First
Last
Primary Contact Email
*
Primary Contact Phone
*
Number of Ladies to Attend
*
#
0
1
2
3
4
5
6
7
8
9
10
10+
Number of Guys to Attend
*
#
0
1
2
3
4
5
6
7
8
9
10
10+
Any specific table location requests, questions, or comments?:
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Yes
No
