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Lucky Star Reservation Form


Please fill in the following information completely:

For general information please inquire via e-mail to 

DJHootie@gmail.com


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.

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