Explorer's Club Membership Registration Form

Name

First Name

Last Name

E-mail* This field is required.

Phone Number:* This field is required.

Area Code

Phone Number

Address:* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Do you currently collect scents?* This field is required.

What do you mean?

Not yet

Just getting started

You should check out my collection!

Birth Date:* This field is required.We're excited to send you an annual surprise!

Referrer* This field is required.

A Friend or colleauge

Google

Blog Post

News Article

Favorite Scent Memory

Favorite holiday destination

Favorite Perfumes

Do you cook or enjoy the culinary arts?* This field is required.

I'm intrigued

Whenever I can

Yes... LOVE!

Nope! I don't get it at all

Do you drink (alcohol)?* This field is required.

Not old enough

Daily

Once in awhile

Whenever I can

I work in the industry

It's not my thing

Any known allergies?* This field is required.

SHIPPING GUIDELINES* This field is required.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.

EXPLORER'S CLUB AGREEMENT * This field is required.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.

Membership Due* This field is required.$500 per year

My Bag

Annual Membership Due
$500.00+Edit
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READY FOR AN ADVENTURE?

Explorer's Club Membership Registration Form