L.A. Night Casino Party Rental

Request to a Quote for a Party

*Note: Please make sure to leave your contact information (telephone number or email address) so we are able to help you with your quote.

Basic Contact Information

*Name:
Company:
Address:
City:
State:		*Zip: i.e. 12345
*Phone:		i.e. 123-456-7890
Fax:		i.e. 123-456-7890
*Email:

Party Information

Party Type (please choose ONE from below):

Corporation Party

Private Party

Fundraiser

Children Only (under 18)

Other

If choose "Other", please specify:

Number of Guests (please choose ONE from below):
10 - 20
20 - 30
30 - 40
40 - 60
60 - 100
More than 100
If choose "More than 100", please specify number:

Types of Games	Number of Tables Needed
Black Jack
Roulette
Craps
Single Dealer Craps
Texas Hold'em
3 Card Poker
Let It Ride
Poker

Date:	i.e. mm/dd/yyyy
Time:	From : to : i.e. hh:mm

Location:

Same as Above

Another Address

Address:
City:
State:		*Zip: i.e. 12345

Desired Party Budget:

Special Requirement or Note:

Note: Service available in Los Angeles, Orange County, Riverside, Ventura, San Bernardino, and Santa Barbra. Other areas will have extra charge.

For more information, please CONTACT us!
Tel: (562)303-3912, Fax: (562)803-3352
OR Email to info@lanightcasino.com