2007 V.I.P. CARD
APPLICATION FORM

 

Complete the form below and click the print button.

Your information will not be transmitted electronically.
Please mail or fax your completed application to:
  
Windrift Cocktail Lounge
PO Box 271 80th & The Beach
Avalon, NJ 08202
Fax: (609) 368-8552
   
Name:
Home Address:
Apt, Suite, or PO Box:
City:
State:
    Zip Code:  
Telephone:
Type of Credit Card:
(Visa, MasterCard....)
Account #:
Expiration Date:
Cardholder's Name:
Signature:

 
Price is $50 Per Card.
Please make checks payable to the “Windrift Hotel”.
Signature required above if paying by credit card.
Your V.I.P Cards can be picked up at the Hotel Front Desk (ID Required).
   
V.I.P. Card Policies
Card is good for one person only and is not transferable.
You must be 21 to purchase a card.
Any card(s) lost of stolen will NOT be replaced.
The Windrift reserves the right to revoke card(s)
for failure to comply with any of the above policies.