Name *

First Name

Last Name

Contact Number *

(###)

###

####

Preferred Event Date *

MM

DD

YYYY

Do you have a booth booked?

If yes, please tick your booth below

Hollywood Suite

Sapphire 1

Sapphire 2

Sapphire 3

Luxe 1

Luxe 2

Luxe 3

Preferred Bottle(s) *

SPIRITS - LIQUEURS

WINE - CHAMPAGNE

By selecting YES, I confirm that myself and my guests have read and agree to Encore’s House Policy, Terms & Conditions, and dress code. *

YES