Membership ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Cigar Lordz Membership ApplicationTo apply, kindly fill out and submit the membership application form provided below. If you require further details about our organization's membership or have any questions regarding the application procedure, please feel free to specify your inquiries in the comment box below.Name *FirstLastEmail *PhoneAddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you smoke Cigars?YesNoHow long have you smoked cigars? *1-33-55+On a scale of 1-4 what is your knowledge of cigars? *1234Have you or do you participate in community activities? *YesNoWhat are your reasons for wanting to join the lordz?Are you adverse to paying dues? *YesNoWhat is your Occupation/Profession and are you willing to use that skillset for the organization?Application Fee *Application Fee - $15.00100% of the application fees will be dedicated to furthering the mission of the Cigar Lordz.Total$0.00PayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameIn order for your application to be considered for membership, it is required that two active Cigar Lordz endorse and vouch for your application. Please provide the names of two Cigar Lordz who can endorse your application. *Please Sign * Clear SignatureDate Submit