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Appointment Form
If you would like to be contacted regarding setting up an appointment date to come and visit the Paradise Club, please fill out all the information below and you will be contacted by telephone ASAP.
Please note: Our club and therefore this website is intended only for adults 21 years of age or older. Your IP address will be noted when you submit this form. We believe strongly in privacy and discretion. Your information will NEVER be given out to any third party. All information submitted here will be kept strictly confidential..
Remember: The Paradise Club is strictly "Couples Only"* *required
information Fill out
all required elements completely. If you leave sections incomplete
(example: only giving initials instead of names) you will NOT get a
response.. Note:
Your ISP address will be recorded when this form is submitted. Anyone who
spams will have their information reported to their Internet Service
Provider and the anti-spam unit of the FCC.
*His Name - First
Last
*Her Name - First
Last
*Ages: Him:
Her:
*E-mail address
Please double check this to make sure it is correct.
Must be in the _______@____.___ format or it isn't an e-mail address.
*Evening Telephone # (include area code)
*Mailing Address
*City
*State
*Zip
*Are
you Married? Yes
No
If not married, how long have you been in your current relationship?
*Important!
Check circle to indicate that both of you aware of this appointment and are both interested in the club?
Yes we are both aware and
interested.
Our club is open on Saturday evenings...appointments are generally scheduled for around 6:30 p.m.
Please try and reserve your spot 1 to 2 weeks in advance as the number of
new couples on a given night is limited!
(click the arrow for a list of more dates)If a date you were interested in isn't
listed here, that means we are booked solid and cannot accept any more
appointments for that evening. You must choose a date from the available ones
listed here...Important Winter Notice: If there is a snow or ice storm on
the day of a party it is your responsibility to make sure the club is open
before you make the trip. You can do so by calling the club between 1 and 4 p.m.
on the day of the party..
If you would like to leave us a specific message, please do so below.
The Subject of Your Message
The Text (Please use your
"enter" key when you get to the right border of the text box)
By Checking here I Certify that I am at least 21 years of age
What is
defined as a "COUPLE" ?
Without exception, for the purpose of attending our club, a couple is defined as
1 male & 1 female in a "Committed Relationship", i.e.: Married,
Living Together, Engaged, etc.
PLEASE READ BEFORE
PRESSING THE "SUBMIT" BUTTON!! Do
NOT make this reservation for an appointment unless you are absolutely
certain that you will be
attending on the date that YOU have chosen. We have a "Zero
Tolerance"
policy towards no-shows for new couples.
Anyone who requests an
appointment via this form and then either cannot be contacted by phone at the
number you provided, or who fails to show for their appointment, for ANY REASON will be
permanently barred from club admittance.. (We allocate time and bring in
additional staff to accommodate all of the scheduled newcomers so please, don't
waste your time, or ours). Thank you for
your understanding.
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