Chez Margaux Application

Step 1 of 3

Please select the membership for which you're applying Un (21–31) - $1,800/year [$1,000 initiation fee]
Deux (32 & Above ) - $2,600.00/year [$2,000 initiation fee]
Preferred Title
First Name
Last Name
Email
Mobile Number
Gender
Nationality
Birthdate
Proof of Age (upload photo of license) Maximum upload size 10MB.
Profile Photo (upload a clear photo of yourself) JPG or PNG only.
Street Address
Suite/Apt.
City
State
Zipcode
Country
How did you hear about Chez Margaux? (Please Provide Details)