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| 420 Private Party Information Request Form |
| You must click on the SUBMIT button to ensure that this information is sent. |
| Additional Information |
| How did you hear about 420 Bar & Lounge? |
| 420 Amsterdam Avenue New York, NY 10024 212-579-8450phone/212-496-6197fax/info@420barandlounge.com |
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| Check this box if you've hosted parties at 420 Bar & Lounge before. |
| Place your cursor in the "First Name" box and delete the text. Then type in your first name. Hit your "Tab" key to advance each box thereafter, inputting your information. |
