Fill Out Order Form Below Name * First Name Last Name Email * Phone * (###) ### #### Choose Hookah Head Please Choose One of The Following Options Watermelon Head $50 Pineapple Head $40 Orange Head $35 Regular Head $30 Head Refill HOOKAH MUST BE PURCHASED TO ORDER A REFILL Watermelon Head Refill $25 Pineapple Head Refill $20 Orange Head Refill $20 Regular Head Refill $15 Please Provide Table Number Below * Please Select Hookah Flavor * Ruby Crush Verry Burry Creamsicle Tutti Frutti Blue Magic Watermelon Freeze Young Queen Mighty Freeze Titanic Peach Sex on The Beach Moonlight Mist Kamp Mix Lost & Found Mix Prospect Park Mix Ice Mix Thank you for your order! A Hookah Staff member will be with you shortly.
