Houston Member Information

Houston Membership Information

Welcome to 55 Seventy Houston. Please complete the details below so we can tailor your membership experience.
Primary Member
Primary Member Name

First NameLast Name
Primary Member Phone #
Format: (000) 000-0000.
Primary Member Email
Primary Member Birthdate

MonthDayYear
Primary Member Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Member Photo

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Please upload a clear headshot (JPG, PNG, or HEIC). Cancelof
Primary Member Driver's License

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Upload a photo of the front of your license. Cancelof
Spouse

If applicable
Spouse Name

First NameLast Name
Spouse Phone #
Format: (000) 000-0000.
Spouse Email
Spouse Birthdate

MonthDayYear
Spouse Photo

Browse Files
Please upload a clear headshot (JPG, PNG, or HEIC). Cancelof
Spouse Driver's License

Browse Files
Upload a photo of the front of the license. Cancelof
Vehicle
Primary Member License Plate #
Include state if outside Texas. List multiple vehicles separated by commas.
Spouse License Plate #
Include state if outside Texas. List multiple vehicles separated by commas.
Billing

Members who elect the annual prepay structure will receive a 10% courtesy adjustment on their total annual dues. We recommend paying via ACH, as we need to charge a 3% fee on credit card transactions.
Billing Preference - Membership Dues
Billing Method - Membership & Lockers (if applicable)
In-Club Payment Method

Other
ACH Information
Routing Number
Account Number
credit card information
Credit Card Number
Expiration
CVV
Billing Zip Code
Dining & Beverage Preferences

Help our culinary and wine team personalize your experience.
Food Allergies / Preferences - PRIMARY MEMBER

Other
Wine - Favorite Regions - PRIMARY MEMBER
Wine - Favorite Grape Varieties - PRIMARY MEMBER
Favorite Spirits - PRIMARY MEMBER
Water Preference - PRIMARY MEMBER
Food Allergies / Preferences - SPOUSE

Other
Wine - Favorite Regions - SPOUSE
Wine - Favorite Grape Varieties - SPOUSE
Favorite Spirits - SPOUSE
Water Preference - SPOUSE
Additional preferences you would like our team to know:
Should be Empty:

Houston Membership Information

Primary Member

Spouse

Vehicle

Billing

ACH Information

credit card information

Dining & Beverage Preferences