Membership Application

There is a 3 day wait period as required by NC State Law before we may issue memberships.

We reserve the right by law not to issue memberships for any reason and to revoke memberships for any reason.

Memberships, by law, may only be purchased by individuals 18 years of age or older.

You may pick up your membership on the following days/times:

Mondays: After 6pm / Tuesdays: After 5pm / Thurs-Sat: After 8pm

Memberships Expire Every November 1st.

Please remember there is a three day wait after filling out the application before you can pick them up.

*The above is not our chosen rule. It is a rule enforced by the NC ABC Commission. Any private club that chooses not to follow this law is subject to fines and loss of their liquor license. Broadstreet strictly follows all laws established by NC ABC.

All persons must have their ID with them when they pick up their membersip.

Under 21 Click Here for Information

Minors May Apply For A Membership ONLY At the Venue.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

 

Check if you wish to be added to our email newsletter list.

 

Please fill in the following. We can not process application without this information.

Date of Birth
ID Number

Enter Today's Date:

-- mm/dd/yy

Please select your age group:

UNDER 21
OVER 21

What activities do you enjoy?

Dancing
Playing Pool
Darts

Which radio stations do you listen to?

Rock 103
Q-98
Foxy 99
G-105
106.9

*Please print out a copy of the submitted form and bring with you when you pick up your membership as a precaution. Rarely, on occasion, they do not go through.*

Broadstreet Cafe & Billiards
Copyright © 2005 [Broadstreet Cafe & Billiards]. All rights reserved.
Revised: 07/01/08