Room Service — Member Intake

I

You

Full name *

Preferred title *

Email *

Phone *

Preferred contact method *

Gender *

Date of birth *

Address *

City *

State *

Referred by *

II

Taste

What you drink * — the spirit you gravitate toward

Your usual order *

Sweet, sour, bitter, or boozy — where do you land? *

Anything you avoid *

Still or sparkling, when it isn't a cocktail? *

Allergies, and anything you do not eat *

What music you'd like here *

III

The room

How you tend to use a room like this * — choose all that apply

What makes you feel taken care of? *

Who you'll be here with, most often *

Any date we should know about *

IV

Looking after you

Who books for you, if it isn't you *

Their contact *

Three restaurants you love *

A restaurant or reservation you'd like help getting into *

What makes you feel taken care of here * — choose all that apply

V

Payment

A card on file covers dues and in-club charges. You'll find a secure link to set that up in the email that brought you here.

I authorize Room Service to charge my house account for any check left open at the close of business, including all charges incurred by me and my guests, plus a 20% service charge.

VI

Headshot

Headshot * — a clear photo of your faceNo file chosenChoose file

VII

House Rules

I have read and agree to the . *

VIII

Signature

By signing below, I confirm the details above are accurate and agree to the House Rules and house account authorization.

Full legal name *

Signature — sign with your finger or mouse *