Reserve your Stripper Online * indicates required field First Name:* Last Name:* Email: Day of your party:* Time of your party (please allow a 1 hour window for dancer arrival):* 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM 12:00 AM 12:30 AM 1:00 AM 1:30 AM 2:00 AM 2:30 AM 3:00 AM 3:30 AM 4:00 AM 4:30 AM 5:00 AM 5:30 AM 6:00 AM 6:30 AM 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 AM Address:* Apartment, Hotel Room Number or Letter If Any City* State* Zip Major cross street Phone Number (of the above party address)* Confirmation phone Number (we will call this number to confirm on the day of the party)* Select Female Dancer package No Female Dancer 1 Girl 1 Hour 2 Girls 1 Hour 3 Girls 1 Hour 4 Girls 1 Hour 1 Girl 1/2 Hour 2 Girls 1/2 Hour 3 Girls 1/2 Hour 4 Girls 1/2 Hour 1 on 1 Private Select Male Dancer package No Male Dancer 1 Male 1 Hour 2 Males 1 Hour 3 Males 1 Hour 4 Males 1 Hour 1 Male 1/2 Hour 2 Males 1/2 Hour 3 Males 1/2 Hour 4 Males 1/2 Hour Dancers you would like to book: See Female Strippers or Male Strippers (page will open in new window) (Please give us a first choice and a few back up choices for every dancer ordered) Guest of Honor? (Name) What are you celebrating? Choose one Bachelor Party Bachelorette Party Birthday Party Poker Party Graduation Party Anniversary 1 on 1 Private Show Divorce Party Office Party Guys Night Out Girls Night Out Divorce Party Other How many Guest\'s will be at the party: Will your party be co ed? Yes No Not Sure Is your party a surprise? YES NO How did you hear about Candy Shop Strippers? Choose one Repeat Customer Google Yahoo Bing ExoticDancersDirectory.com FemaleExoticDancers.co StrippersInRiverside.co StrippersInOrangeCounty.co PartyPop.com Yellow Pages Flyer / Business Card Power 106 99.1 FM Facebook Twitter Myspace Other Comments or questions: Promo / Discount Code: What is the best day and time for us to call you back to confirm your reservation? (must be at least 24 hours before your party date) Please enter the security code from the image above.*