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Explorer's Club Membership Registration Form
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Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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5
Do you currently collect scents?
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What do you mean?
Not yet
Just getting started
You should check out my collection!
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6
Birth Date:
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We're excited to send you an annual surprise!
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Month
Day
Year
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7
Referrer
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A Friend or colleauge
Google
Blog Post
News Article
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8
Favorite Scent Memory
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9
Favorite holiday destination
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10
Favorite Perfumes
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11
Do you cook or enjoy the culinary arts?
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I'm intrigued
Whenever I can
Yes... LOVE!
Nope! I don't get it at all
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12
Do you drink (alcohol)?
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Not old enough
Daily
Once in awhile
Whenever I can
I work in the industry
It's not my thing
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13
Any known allergies?
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14
SHIPPING GUIDELINES
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By law, we can not legally ship perfume to some countries; a current list is available on our website.We regret we cannot ship to P.O. boxes.Whenever possible, please provide a business address to avoid any returns, redirect, or reshipment fees.We may automatically hold shipments during times of extreme weather to protect your investments. Sales/excise taxes vary and are charged according to the individual current laws.
I have read, understood, and accepted the SHIPPING POLICY for membership.
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15
EXPLORER'S CLUB AGREEMENT
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I understand that my credit card will be automatically billed annually for my membership. I am responsible for the retail price of products and tickets to experiences, minus my club discount, plus any applicable taxes and shipping. I understand that, after the first 4 shipments, I can cancel my membership with no fee. Cancellation prior to the completion of 4 shipments will be charged a $100 cancellation fee. Explorer's Club benefits are not transferable. There are no substitutions for automatic club selections. Will call members may enjoy a pick-up window of approximately 5 weeks; after which time the scents will automatically be shipped to the address on file. Shipping charges will apply. Perfumariē's main form of communication with our members is email. Pre-shipment notifications will be sent to members at least 2 weeks prior to processing. It is our club members' responsibility to notify us of changes to their accounts which include, but not limited to, email address, telephone number, and shipping address. Non-notification may result in return, redirect, or shipment fees.
I have read, understood, and accepted the rules for membership.
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16
Membership Due
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$500 per year
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ORDER SUMMARY
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Annual Membership Due
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17
READY FOR AN ADVENTURE?
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