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2018-03-14T13:55:58+00:00
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Basics
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Favorite type of music
R&B/Neo-Soul
Jazz
Hip Hop/Rap
Blues
Zydeco
Pop
Rock & Roll
Country
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Family
Are you married?*
Yes
No
Dating
It's Complicated
Emergency Contact
Cigar Lifestyle
I want to become a Westside Club Member to... *
Smoke and Drink Only
Meet new people/Socially
Network with Professional Associations
Assist with Community Service
Invest my resources into the Club
Do you Smoke Cigars? *
Yes
No, But am interested in
Learning more
Do you like to group travel?
Yes
No
Never Done It.
Have you traveled out of country for pleasure?
Yes
No
How often Do you Smoke Cigars?*
Everyday
Few times per week
Only on Special Occassions
I prefer Blank with my cigar
Scotch
Whiskey
Bourbon
Beer
Wine
Mixed Drinks
Juice
Tea
Coffee
Water
Are you a member of a Cigar Lounge?
Yes
No
No, But want to be
Friends
Westside Member
Website
Cigar Lounge Event
Community Event
Social Media
Westside Member Name
The Business Of Westside
Are you interested in becoming a WSS Affiliate, WSS Business Partner or Westside Charity Volunteer?*
Yes
No
Are you interested in Becoming a Westside Affiliate? *
Yes
No
Tell Us about your company
Tell the world who you are. This data may be featured on the site.
Company Logo
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Company Logo
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Are you interested in working behind the scenes? *
Yes
No
Maybe
I am willing to Volunteer at Community Events*
Yes
No
Maybe
Are you interested in becoming a Westside Business Partner?*
Yes
No
Mission Statement
Who are you and What does your company do?
Explain how can we work together?
Explain how can we work together?
Do you want to Create a Business Card and Logo?
Yes
No
Business Card
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Business Card
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Website URL
Instagram Business Page
LinkedIn Business Profile
Facebook Business Page
Business Twitter
YouTube
Contact me with club information and announcements *
Yes
No
I have read and agree to the terms and conditions*
Yes
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