CIGAR MEMBERSHIP APPLICATION

Today's Date:

Full Name (required):

Address:

City:

State:

Zip:

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Contact Number (required):

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

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

I understand to guarantee my locker membership stays continuous with no interruptions or changes of benefits, I have received a copy of the membership application and agreement and understand and agree to adhere to all Prohibition rules and regulations as amended from time to time. Prohibition reserves the right to suspend or cancel membership privileges at any time or for any reason.

I further certify that the credit card listed herein is issued to me and agree to keep a valid and approved credit card on file with Prohibition at all times. Executive memberships will be auto drafted from the credit card on file monthly. Premium and Associate memberships will automatically renew, and my card will be charged on an annual basis. I may cancel my membership at anytime without refund with a 30-day written notice.

Client Signature:

Date:

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