205 Club Membership Registration Form

205 Club Membership Registration

Complete the form below to sign up for our member discounts and specials.
Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:

MonthDayYear
Do you prefer Bottle Service

YesNo
Membership Rules
1. Membership is available to anyone 21 years of age or older. 2. You promise NOT to use to conduct any fraudulent or business activity. 3. As a member of the 205 Club you are entitiled to 5% off your dining experience. 4. You may take adavantage of any special offerings. 5. You authorize us to solicte and send you information of sepcials and upcoming events.
I have read, understood, and accepted the rules for membership.
Privacy Policy
We will not share your personal inforamtion with any third parties. It is solely for our internal use.
I have read, understood, and accepted the PRIVACY POLICY for membership.
Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
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205 Club Membership Registration