Samantha's Place Event Registration
You must complete ALL sections of this page. Click "Submit" when ready to send.
If you have trouble with this form please email us

Her first name:
His first name:
Email address:	We personally send the reply confirmation with directions, so it may take up to 48 hrs.  If you have not received it by that time please also check your junk mail or spam filter. Please ensure the address is correct so that you receive our reply confirmation and directions to our club
Cafe Desire name: if applicable
Friends'  Names: if applicable	If you're bringing friends who are new to Samantha's Place and you would like to be entered in our draw for free admission to our next event please include their first names here.

We are a:
Couple*   or  Single Female

*Please note: Starting in January 2011, on a trial basis, we will be allowing a very few select couples to bring an extra male friend, with our prior approval.  Only couples who regularly attend our events and who are part of an established threesome will be considered.  If you would like to be considered please make note of this in the comment section below and we will contact you with more information.  This is an exception to the rule, not the norm, any m-f-m threesomes showing up at the door, without prior approval, will have the extra male companion turned away.   APPROVAL MUST BE SOUGHT A MINIMUM OF 1 WEEK PRIOR TO THE EVENT and the number of approvals will be extremely limited. 

Samantha's Place will remain a couples' club and, while female-male-female threesomes have always been welcome, we would now like to also accommodate the handful of regular guests who are part of an ongoing male-female-male relationship.
 

Check this box if it is your first time at Samantha's Place.
 

Please add us to the guest list for the NEXT Samantha's Place Club Night as (select the box that applies):
We are Samantha's Place Members. ($25.00 per couple)
      Be sure to bring your Samantha's Place Membership Card with you to show at the door
We are coming as Samantha's Place Guests for now. ($40.00 per couple)

We would like to become Samantha's Place Members. ($60.00 per year)
      Pay for your yearly membership at the door and get in for the members' rate of just $25.00 starting at that event 

Any additional comments or questions?

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