DIXIE - FRIDAYS



Your place to Rock!

Put you and up to 9 of your friends on the list at Dixie Tavern!

This form is for the list for Dixie on Friday Nights. This form must be completed by 7:00PM the night of and the person in charge of the list will get a hold of you for confirmation.
Your Info...
Full Name:
Email:
required field
Cell Phone Number:
Birthday:

Your Event...
Date of Request (must be on a Saturday):


Occasion:

Your Guests...
2nd Guests Full Name


3rd Guests Full Name:
4th Guests Full Name:
5th Guests Full Name:
6th Guests Full Name:
7th Guests Full Name:
8th Guests Name:
9th Guests Name:
10th Guests Full Name:
Filling out this form does not guarantee that you will be put on the list. AllClubVip.com can only guarantee that this form will reach the correct promoter for the club. Although the promoters we work with are very good at what they do, AllClubVip.com is not held responsible for lack of response or coordination of VIP status on the part of any club or promoter.

required field = Required
 
Games

Who's Online

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On The List...


Kala

Nixon

Smittenkitten

abova

Erikamc1

ccontreras

Brandong