Request Form

Lucky Star Reservation Form

Please fill in the following information completely:

For general information please inquire via e-mail to

CUSTOMER INFORMATION

Name
Home Phone
Work Phone
FAX
E-mail

MAILING INFORMATION

Street address
Address(cont.)
City
State/Province
Zip/Postal code
Country

EVENT INFORMATION

Event type
Date of event
Time of event
Est. # of attendees
Location of event
Address of Location
City

DEPOSIT / PAYMENT METHOD

PLEASE NOTE: Deposit information is not necessary at this time, but is required at time of booking in order to secure the events requested. We can accept CASH, VISA/MasterCard (on site, by phone or Fax), Money Order or Check.

Deposit Method
Credit Card
Cardholder's Name
Card number
Expiration date

EVENTS REQUESTED

Please send me information on the following...
I am interested in booking the following...

Please enter the name of the event type you are interested in.

COMMENTS

What do you think of our site? Have any comments? Please let us Know:

Lucky Star Entertainment, P.O. Box 401, Milford, CT 06460-0401 * Call: (877) 380-2502 Toll-Free