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Moments Form


Thank you for booking your proposal with us. Please complete this form no later than 7 days before your visit. This form captures important information about your preferences, so its an essential part of making your special moment enjoyable. If we do not receive a completed form, or if the form is submitted less than 7 days before your visit,, default choices will be made, and a generic playlist will be provided.
DD slash MM slash YYYY
Your name(Required)
Name of the person you are surprising(Required)
Would you like the MARRY ME illuminated letters?(Required)
Your drink selection(Required)
This is what will be served to you during your visit
Your bottle selection(Required)
This is what you will take away in your goodie bag
Create your music playlist here by writing the song name and artist into one field, then press the + icon to add the next. We reccommend adding 10-12 songs.(Required)
Note, due to music licensing, we use a business account. Although we will do our best to ensure all your song choices are played, be aware that some songs are not available. We therefore advise you to add as many songs as you can.
Please upload two clear photos of you both. This is so we can discretely identify you when you arrive.
Drop files here or
Max. file size: 8 MB, Max. files: 2.
    Please provide any additional information you would like us to know here:
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