Rumbrandt - Diner's Club Membership Application

Front:
FUN QUIZ! Give yourself 10 points for each "YES" answer. If you Score less than 60%-you've flunked! You'll never enjoy Charlie's Penthouse... YES NO Enjoy joining-in on songfests? . Like good piano playing? Happier in dim lights? Get a kick from good talent? Like to request favorites? Do you prefer off-beat spots? Feel like dancing? OO Can you relax more at a pianobar? O Are you choosy about your cocktails? Do you remember "speakeasy" days? Remember, the Penthouse is just next door and up a few steps. You'll find it the $64,000 answer to where-to-go! Nightly from 9 p.m.-2 a.m. Dancing Entertainment aliss pazzthouse 25 TRINITY PLACE OPP. 111 SUTTER STREET

Back:
"RUMBRANDT" by Lionel Talbot One of the many oil paintings (mostly nudes) hanging in the delightful Domino Club, San Francisco's most exciting rendezvous for mar- velous lunches, dinners or cocktails. Located in a little alleyway opposite 111 Sutter St. in the heart of the Financial District. Featured in Life and Holiday magazines. Charlie Anderson, your host. A MIKE ROBERTS COLOR PRODUCTION, BERKELEY 2, CALIF. MAIL TO 53 POST STREET, SAN FRANCISCO • SUTTER 1-4168 FOR NEW MEMBERS ONLY PLEASE ANSWER ALL QUESTIONS-TYPE OR PRINT FOR OFFICE USE Full Name Home Address City Home Phone Rent Home Own Home Years Company Name Nature of Business City LOS ANGELES, 910. N. La Cienega Blvd. SAN FRANCISCO, 127 Montgomery St. ST. LOUIS, 506 Olive St. DINERS' CLUB MEMBERSHIP APPLICATION NEW YORK, Empire State Building CHICAGO, 33 N. La Salle St. CLEVELAND, 1328 Terminal Tower Business Phone Years with above firm Position Bank Branch Regular Special Savings 000 Charge accounts at If new account, check here o if addition to existing account, show number CHECK ONE ONLY COMPANY ACCOUNT Bill to office address PERSONAL ACCOUNT Bill to office address PERSONAL ACCOUNT Bill to home address $5.00 annual membership fee: check enclosed ... please bill me o DOMINO Card holder assumes individual responsibility with company applicant Signature of individual applicant Signature of executive authorizing company account Titlo