Nightlyfe Magazine

VENUE REGISTRATION FORM

PLEASE REGISTER YOUR VENUE HERE

Name

Venue Style

choose one

Address

City

State

Zip Code

Phone Number

Website Address

E-mail

Description of the club

Events - Monthly

Events - Weekly

Hours Payment Options

Visa MasterCard Amex

Dress Style The Scene Music Style

SELECT 1 SELECT ALL THAT APPLY SELECT ALL THAT APPLY

Logo URL image should be 198w x 176h max 20k

Picture 1 URL images should be 150w x 100h max 20k

Picture 2 URL images should be 150w x 100h max 20k

Picture 3 URL images should be 150w x 100h max 20k

Picture 4 URL images should be 150w x 100h max 20k