CityhappeningsUSA.com/ Cityhappenings.com
Membership Application for V.I.P. and V.I.P.P.
1012 Cotten Farm Drive, Duquay-Varina, NC 27526
919-557-1788 office/ 919-557-2395 fax

For more VIP and VIPP info, please visit: http://www.cityhappenings.com/VIP_info.html

Are you a current Chaps Member? Yes / No or Not sure (please circle one)

Upgrade Member Status to: ___V.I.P ($75 yr) or ___V.I.P.P ($100.00 yr)

Members Name: _______________________________ Date: ___________

Email Address (for consideration): _________________________________

Mailing Address: ___________________________City _______Zip______

Home Phone: ____________ Work:______________ Cell:_____________

*Applications will be reviewed and processed for approval, after which no refunds will be issued. Your personalized card will be mailed to the address on file within 10-15 days. MEMBERSHIP HAS ITS REWARDS!

If you have not already done so, please remit a payment in amount of $______ for your VIP or VIPP “Private” Cityhappenings.com Membership.

Checks are to be made payable and mail to: Cityhappenings.com

Please note: a service fee of $ 30.00 will be accessed for all returned checks.

All cards will expire 1 year from the date of issue, in order to maintain your status after this period will require that you renew your membership. Disclosure: The VIP and VIPP Membership renewable rates are not guaranteed to be this same rate as the amount of today’s application.

Members Signature ______________________________ Date __________

* Please fax 919-557-2395 or mail (a copy) of this signed agreement to the above address along with your payment. Thank you!