Council Bluffs Strippers

First Name

Last Name

Email Address

Cell Phone

Best Time To Call

Month Of Event

Day Of Event

Year Of Event

Time Of Event

Address

City

Zip Code

Venue

Type Of Event

Guest Of Honors Name

Number Of Guests

Average Age Of Group

Choose six entertainer choices below by checking the boxes next to each girl (you must select six girls to continue form processing):

• 1 Angel
• 2 Linsey
• 3 Raven
• 4 Cherly
• 5 Lexy
• 6 Candy
• 8 Tinna
• 9 Lori
• 10 Tonya
• 11 Katie
• 12 October
• 13 Alisha
• 14 Spice
• 15 Karen
• 16 Julia
• 17 Shane
• 18 Vannesa
• 19 Dee
• 20 Modanna
• 21 Steph
• 22 Charm
• 23 Amanda
• 24 Leslie
• 25 Carmen
• 26 Passion
• 27 Missy
• 28 Susie
• 29 Anna
• 30 Amy
• 31 Angie
• 32 Chrissy
• 33 Barb
• 34 Beth
• 35 Brooke
• 36 Cathy
• 37 Susan
• 38 Courtney
• 39 Debbie
• 40 Elena
• 41 Sally
• 42 Beca
• 43 Morgan
• 44 Carol
• 45 Jamie
• 46 Kali
• 47 Barbie
• 48 Jada
• 49 Anna
• 50 Gina
• 51 Shenna
• 52 Heidi
• 53 Kari
• 54 Nikki
• 55 Paris
• 56 Red
• 57 China
• 58 Hope
• 59 Ianna
• 60 Tai
• 61 Jodi
• 62 Faith
• 63 Juliya
• 64 Johnny
• 65 Joey
• 66 Jenny
• 67 Kat
• 68 Champ
• 69 Joleen
• 70 Tina
• 71 Jennifer
• 72 Arron
• 73 Kelly
• 74 Julie
• 75 Kitana
• 76 Sunshine
• 77 Kyan
• 78 Nissa
• 79 Tara
• 80 Samantha
• 81 Sarah
• 82 Shay
• 83 Solmay
• 84 Roxsan
• 85 Stacy
• 86 Tammy
• 87 Tamson
• 88 Tiffany
• 89 Merrit

How Did You Hear About Us

Other

Special Instructions

Questions

Enter the code above in the box below