The High Members Only 2023
Private, Exclusive. Elite
Name
First Name
Last Name
Date of Birth
Month/Date
Year
Email
*
example@example.com
Social Media Names....Facebook/Instragram
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
-
Area Code
Phone Number
Are you being referred by a Member? if so list Member Name:
Membership Information: Monthly Membership includes access to the facility. The ability to bring your own bottle, stored safely onsite. No charge on drinks from your bottle. (Chasers not included or set ups not include). 2 Guest allowed. 10% Discount at Select 13 (excludes Chef Specials). Exclusive Cigars. . Benefits of being a Member. 1) Never pay for alcohol when you have a bottle onsite. 2) Guest can drink from Member bottle. 3) First access to Special Events. 4) Premium Seating...No cost to reserve sections. 5) Exclusive Selection of Cigars. 6) Access to Annual Meetings. 7) 10% Off at onsite restaurant, Select 13 (must present card with ID). 8) Host events with no additional Cost. . . Restrictions. 1) One bottle stored at a time (excludes VIP Members) 2) 2 guest maximum (excludes VIP Members). 3) Dues paid monthly via auto debt 4) Soda, Juice, Beers, Cups, Ice...additional fee
General Membership 2023 $65 Month Max 2 guest!
General Membership Annual Discount 2023: $650. (Save $130) Max 2 Guest
VIP Membership: $1500 Annual Fee. Unlimited Guest. Store Multiple Bottles: Max 3. Can buy stock bottles at cost plus +20. VIP Only Events.
Professional Profile: Employment Status
Employed
Business Owner
Elected Official
Hospitality Employee (servers, bartenders, etc)
Other
How would you describe your professional status?
Executive; Upper Management; Professional License
Young Professional; Team Lead; Assistant Manager
Business owner; Entrepreneur; Self Employed
Elected Official; Appointed Official; Board Member; Community Activist
Other
Level of Education
Doctoral; Professional; (J.D.; M.D, D.D.S; Pharm D, etc)
Master's Degree
Bachelor's Degree
Associates Degree
High School Diploma; GED
Please tell us briefly about yourself:
List additional questions here:
Select level. If approved, membership card will be generated. Young Elite must apply in house and receive code.
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( X )
General Membership
(
$
65.00
for the
first payment
then,
$
65.00
for each
month
)
$65 Monthly
General Membership Annual Discount
(
$
650.00
for the
first payment
then,
$
650.00
for each
year
)
VIP Membership (Limited)
(
$
1,500.00
for each
year
)
Enter coupon
Apply
Subtotal
$
0.00
Tax
$
0.00
INVOICE WILL BE SENT IF APPROVED
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