RoZe Imperial Service Event Request
Thank you for thinking of us to service your event ! We are honored and would love to give you the RoZe experience that you will never forget. Please fill out the form below and a representative will contact you !

Contact us at (954) 367-9222 or rozeinc6@gmail.com for any additional comments or questions 
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Name *
Date of Event *
MM
/
DD
/
YYYY
Phone Number To Follow Up *
Email To Send Contract To (The Person That Will Be Signing) *
Tentative Address of Where Event Will Take Place *
Time Slot of Event *
Time
:
Amount of Time You Will Need Our Services *
Required
Type of Event  *
Required
Services Needed *
Referred By or Loyalty Points (We will verify)
I understand that I will have to pay a non-refundable deposit of $200 for any of the booths/cold sparklers or $250 deposit for the bundle package and sign a contract to secure my time slot. *
Required
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