Thank you for enrolling in aura's "A-List" VIP guest program. As a member of the A-List you will
recieve advance notice of all
aura events and special members only benefits.

You must be 21+ years of age to be on
aura's A-List.

FIRST NAME


LAST NAME


EMAIL ADDRESS


PHONE NUMBER


MAILING ADDRESS


CITY


STATE


ZIP


BIRTHDAY
(optional)