CIGAR MEMBERSHIP APPLICATION

Full Name (required):

Occupation:

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Membership Selected (circle one)
Corporate Membership: 1 Year ($60/month).Premium Locker Membership: $480 annually.Associate: $180/Annually.

If applying for 4 or more members, enter how many total

I understand that this information is provided for inquiry purposes only. The completion of this form does not constitute a membership, or membership contract between myself and the Red Phone Booth.

Client Signature:

How many times a week do you visit Red Phone Booth:
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