LaBare Houston Reservations
Email Address:
Your Name:
Email Address:
What are your daytime and evening phone numbers? No pagers please
Honoree's name?
What is the Occasion?
Birthday Party
Bachelorette Party
Divorce Party
Girls Night Out
How many people are in your party?
what is the time of arrival for your party
The date of your party?
Party Pack Requested (Optional):
$75.00 Package #1
$100.00 Package #2 (Stage Dance)
$140.00 Moet Party Pack #3
$310.00 Bottle Service Package #4
$360.00 Dom Perignon Party Pack #5
$460.00 Cristal Party Pack #6
Name as it appears on Credit Card?
Credit Card Number?
Credit Card type?
Visa
MasterCard
AmericanExpress
Discover
Expiration Date?