HALL PASS ANNUAL MEMBERSHIP

Hall Pass Card - Annual Membership - $540

Apply to become a Hall Pass Card Member and receive your key to unlock the city with exclusive member benefits perks and experiences at hottest venues in town.

Referred By

First Name *

Last Name *

Signature on Card *

A Photo of you. Pick a selfie... any selfie. *

Gender

Date of Birth (MM/DD/YYYY) – You must be 21 or older to be a member of Hall Pass Card. *

Phone Number *

Email Address *

Password *

Confirm Password *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip Code *

Country *

Your Best Social Media Account *

Your Company Name or Industry *

Annual Income

Favorite Venues and Services *

Hobbies and Pastimes - What do you do when you’re not at work? This helps us find more Partners that fit our Member Community. Pick a max of 5 choices.

Reading / Writing
Movies / TV
Exercise
Music
Entertainment
Team Sports
Water Sports
Action Sports
Fashion
Traveling
Golf
Bicycling
Hiking
Cooking
Surfing
Camping
Skiing
Boating
Cars
Painting
Dancing
Gaming
Gambling
Investing
Concerts / Festivals
Wine Tasting
Animals
Design

Favorite Alcohols - If you like swag and nice gifts you’ll want to fill this one in. Pick a max of 3 choices.

Beer
Wine
Saké
Gin
Brandy
Whiskey
Rum
Tequila
Vodka
I don't Drink

Favorite Foods - Let’s have a dinner party (seriously we do those). What do you like to eat? Pick a max of 3 choices.

Steakhouse
Italian
Japanese / Sushi
American
Mexican
Mediterranean
Breakfast / Brunch
Chinese
Thai
Indian
French
Latin
Vegan
Dessert
Other (specify in notes section)

Additional Notes

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Card Number *

Expiry Month *

Expiry Year *

CVV *

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