Name of Event *

Name of Event

First Name

Last Name

Primary Email Address *

Primary Contact Phone # *

Primary Contact Phone #

(###)

###

####

Day of Event Contact Name *

Day of Event Contact Name

First Name

Last Name

Day of Event Contact Phone # *

Day of Event Contact Phone #

(###)

###

####

Day of Event Contact Email Address

Venue Name *

Venue Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Venue Notes

Is there anything we need to know about your venue? Any special instructions required to access the site? If you don't know, providing the name and contact info for a venue representative is sufficient.

Event Date *

Event Date

YYYY

Type of Service *

Please select.

Guest Count *

Event Start Time *

Event Start Time

Please note: The normal rental duration is 4 hours. If additional time is needed, additonal costs will occur.

Hour

Minute

Second

Event End Time

Hour

Minute

Second

Signature Cocktail(s)

Name of Cocktail and list of ingredients.

Alcohol + Quantity

Please list all beverages you'd like us to serve. (ex. Red Wine= 4 bottles)

Additional Info

Anything else we need to know?

The Cosmo Camper

ROAMING THE GREAT STATE OF TEXAS!