Club Membership Registration Form

Papertown Billiards Membership Registration

Complete the form below to sign up for our membership service.
Name

First Name Last Name
E-mail
Phone Number:

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Birth Date: *

Month Day Year
Where did you hear about us?

A Friend or colleague Google Social media News Article Other
I am interested in the special monthly offer of $100 per month for UNLIMITED POOL *

YES NO
MEMBERSHIP RULES
1. (1) guest allowed per member
2. The yearly membership fee of $1 (One dollar) to be paid for the time of registration.
3. Membership cards must always be kept in possession of members while on-premises.
4. A fee of $5 will be charged for a replacement card.
Membership Rules

By signing below, I agree to adhere to the rules set forth by Papertown Billiards. Once you submit your application, we will contact you shortly to complete your membership application. Thank you!
*

I have read, understood, and accepted the rules for membership.
Should be Empty:

Papertown Billiards Membership Registration