• Birthday Person's Name (Full Name) *
• Email *
• Date of Party *
• Estimated # of Guests *
  (Est Only -You are not guaranteed this amount of tickets) 1-1415-1920-2930+
• Preferred Level for Reserved Table* - (Harbor Lights) English Level
  (English Music - ex: Mainstream, Top 40...etc) Latin Level
  (Latin Music w/ some English - ex: salsa...etc)
• Facebook URL/Screenname: *
  (ex: www.facebook.com/YourFBScreennameHere)
• Additional Comments