FOR OFFICE USE ONLY CREDIT CARD AUTHORIZATION FORM 4321 W. Flamingo Road ~ Las Vegas, Nevada 89103 Office: 702.942.6832 ~ Fax: 702.944.3476 Email: [email protected] ~ www.n9negroup.com TODAY’S DATE: RESERVATIONI ST/HOST: BECCA VENUE : CLIENT INFO CONTACT NAME: CONTACT NUMBER: EMAIL ADDRESS: EVENT INFO RESERVATION DATE: Reservati on Name: SAME NUMBER OF GUESTS: ARRIVAL TIME: By 11:00pm BEVERAGE MINIMUM: + 8.1% sales tax & 20% gratuity CANCELLATION TIME BY: 3:00PM THE DAY PRIOR CANCELLATION FEE: $ ADDITIONAL INFO: IMPORTANT NOTES: Reservations are not guaranteed until the form has been completed returned to the N9NE Group within 24 hours of booking. 1. Cancellations must be made 24 hours prior to your Reservation to avoid being charged THE FULL AMOUNT OF $ ___________ 2. Parties that exceed number of guests specified above will not be guaranteed entry and subject to additional costs. 3. Server will charge upon arrival for bottle service. BOTTLES START AT $350.00 + 8.1% Sales Tax & 20% Gratuity BY INITIALING HERE, YOU HAVE READ AND UNDERSTAND ALL IMPORTANT NOTES _______ (INITIAL) *You MUST provide a copy of your Driver’s License and Credit Card (front and back) in order to confirm the reservation* Due to Nevada Law we cannot except forms emailed to protect your safety. Please fax! CREDIT CARD INFO NAME: (as it appears on credit card) Billing Address: City: State: Zip: Credit Card Number: Exp Date: / CVV: ☐AMEX ☐VISA ☐Mastercard

2013 Club Credit Card Auth

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CREDIT CARD AUTHORIZATION FORM

4321 W. Flamingo Road ~ Las Vegas, Nevada 89103

Office: 702.942.6832 ~ Fax: 702.944.3476

Email: [email protected] ~ www.n9negroup.com

TODAYS DATE:RESERVATIONIST/HOST:BECCAVENUE:

CLIENT INFO

CONTACT NAME:CONTACT NUMBER:

EMAIL ADDRESS:

EVENT INFO

RESERVATION DATE:Reservation Name:SAME

NUMBER OF GUESTS:

ARRIVAL TIME:By 11:00pm

BEVERAGE MINIMUM: + 8.1% sales tax & 20% gratuity

CANCELLATION TIME BY: 3:00PM THE DAY PRIORCANCELLATION FEE:$

ADDITIONAL INFO:

IMPORTANT NOTES:

Reservations are not guaranteed until the form has been completed returned to the N9NE Group within 24 hours of booking. 1. Cancellations must be made 24 hours prior to your Reservation to avoid being charged THE FULL AMOUNT OF $___________ 2. Parties that exceed number of guests specified above will not be guaranteed entry and subject to additional costs. 3. Server will charge upon arrival for bottle service.BOTTLES START AT $350.00 + 8.1% Sales Tax & 20% Gratuity

BY INITIALING HERE, YOU HAVE READ AND UNDERSTAND ALL IMPORTANT NOTES _______ (INITIAL)

*You MUST provide a copy of your Drivers License and Credit Card (front and back) in order to confirm the reservation*

Due to Nevada Law we cannot except forms emailed to protect your safety. Please fax!

CREDIT CARD INFO

NAME: (as it appears on credit card)

Billing Address: City: State: Zip:

Credit Card Number: Exp Date: / CVV:

AMEX VISA Mastercard Discover

Signature of Credit Card Holder: Date:

I herby authorize N9NE GROUP, LLC to charge the amount indicated to my credit card in the event of a no show. That amount is non-refundable.This form must be returned within 24 hours from today. If not received, the reservation will be automatically cancelled without notification.

N9NE Group, LLC., reserves all rights.

Be advised, the N9NE Group encourages everyone to have a good time but any illegal activities including drug use,drug possession, nudity, and any other illegal behavior will be prosecuted to the fullest extent of the law.

**Once we have received your completed form, you will receive an email or fax confirmation of your reservation.

If you do not receive the confirmation within 24 hours please contact us immediately as your reservation is subject to cancellation without notice.