Mommy's Moment: Online Party Room Registration Form

Home

Online Parties

Chatroom

Discussion Board

Online Party Room
Reservation Form

Please fill out the form below to reserve your online party room for either a monthly party room or for a one night party room. Request must be at least 2 week a before actually event. If you have any questions about this form please email us.

Name:
Business Name:
Email:
Website:
Address:
City, St, Zip:
Online Party Date:
Time:
Is this a private or public party? Private Online Party ( only for family and friends of Hostess) Public Online Party (open to public, will send out email to ALL newsletter members and have open link to room on calendar)
Are you a Monthly Online Party Member? - $15.00/month Your own party room to use as often as you like! *SPECIAL* Monthly Room for ONLY $10.00 a month as long as you own you room! offer good until October 31st, 2003 Only Party this Month? - $5.00/party How are you sending payment? PAYPAL Visa, Master Card, or Discover