Please Fill Out Order Form Below Name * First Name Last Name Email * Phone * (###) ### #### Choose Hookah Head Below Please Choose one of The Following Options Watermelon Head $80 Pineapple Head $70 Orange Head $65 Regular Head $60 Head Refill HOOKAH MUST BE PURCHASED TO ORDER A REFILL Watermelon Head Refill $40 Pineapple Head Refill $35 Orange Head Refill $35 Regular Head Refill $30 Please Select Your Hookah Flavor * Try One of the Different Flavors Strawberry Splash Berlin Nights English Lord Havana Bagdadi LADY KILLER Blue Orange Mi Amor SKAYFALL 2 Apple Creamsicle Tutti Frutti Kamp Mix Mighty Freeze Prospect Park Mix Titanic Peach Sex on the Beach Moonlight Mist Blue Magic Watermelon Freeze Please Provide Table Number Below * TIME LINE REGULAR HEAD: LAST ≈ 45 minutes ORANGE HEAD: LAST ≈ 1 HOURS PINEAPPLE HEAD: LAST ≈ 1.5 HOURS WATERMELON HEAD: LAST ≈ 2 HOURS Thank you for your Order, a Hookah Team Member will be with you shortly!