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Please fill out the form below to request a reservation at Aura Nightclub. Please provide an accurate contact information so we can respond accurately and in a timely fashion. Thank you!
   
 
First Name:
Last Name:
Email:
State/City:
Cell Number:
Alternate Phone:
Cell Carrier:
 
 
Age:
 
 
 
 
Reservation Date: 
Number of Guests (male/female):
 
Additional details we should know about:
   
   
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