Sign Up Now For Reduced Admission to any Impacked / Club Action Sponsored Event!

GUESTLIST

Please make sure ALL the fields are filled in

Name:

E-mail:

Club:

Date:

Number of Guests: 1 2

 

 

 

 

*Club Action guest passes entitle holder + up to 2 guests to reduced admission at special club events.

 

 

Fill out the form or send an email with all the fields info to:

samy@clubaction.com
PERMANENT VIP

Please make sure ALL the fields are filled in

Name (First):

Name (Last):

Male/Female:

Date of Birth: Year

Address (Street/apt#):

City: State:

Zip:

E-mail:

*Club Action VIP entitles permanent VIP "treatment" for the duration of promotion includes: reduced admission during assigned times (special events such as concerts excluded)and drink specials to all Club Action Events. Simply ask for Club Action guestlist or ask for Samy @ the door you should be on our list of names.

Fill out the form or send an email with all the fields info to:

samy@clubaction.com