Fifty-One's Electronic Cigarette VIP CLUB

To confirm your VIP Club membership, please simply follow the 3 easy steps below...

1) Participate in our 3 Question Survey, to help us better understand YOU, our smoking customer:

1)	What brand of Traditional Tobacco Cigarettes do/did you Smoke?
2)	How many Packs of Cigarettes do/did you Smoke a day?
3)	Since receiving your Electronic Cigarette, do you smoke more, less, or about the same number of traditional tobacco cigarettes?

2) For participating in the above survey, we would like for you to select your FREE GIFT from the below 3 options:

Option 1)

Two 15-Packs of Filters for your E-Cig
($49.95 value)

Option 2)

Two KRAVE500 Disposable E-Cigs
($39.90 value)

Option 3)

$51 Gift Certificate for Smoke51.com
(Gift Code by Email)

3) Please confirm your shipping and billing information for your VIP Club Autoship Membership:

Below, please complete all fields to confirm your VIP Club Membership and Activate your Monthly Refill Filter Shipments

Shipping Information:

First Name:

Last Name:

Address:

City:

State:

Zip:

Email:

Phone:

Filter Options for Autoshop Program:

Flavor:

Quantity:

Billing Informaion:

Card Type:

Card #:

Expiration:

CCV:

What is this?

I am at least 18 years of age and have read and agree to the Terms & Conditions and Billing Policy of this offer.

Billing Policy: By clicking “CONFIRM,” you agree that your card will be charged a one time charge for $89.95 for your previously received kit, and $29.95 / $49.95 / $69.95 per month, depending on your above "Quantity" selection, for your enrollment into the VIP Club Filter Authoship Program, until you cancel.


Programs: (Filters per Month) 15 Filters 30 Filters 45 Filters	Monthly Cost of Filter Program $29.95 $49.95 $69.95	Monthly Cost of Cigs @ $5 / Pack $152.08 $304.16 $456.25	Monthly Savings With E-Cig $122.13 $254.21 $386.30	Total Cost Of E-Cig Plan / Year $359.40 $599.40 $839.40	Cost of Cigs Per Year @ $5 / Pack $1,825.00 $3,650.00 $5,475.00	Savings Over a 1 Year Time Span $1,465.60 $3,050.60 $4,635.60
* $5.00 / Pk is used to show simple savings. Most States sell Traditional Tobacco Cigarettes much higher than $5.00 / Pk. Thus youroverall monthly and annual savings will be substantially higher than those shown in the above chart.

Have you any questions regarding your Membership Confirmation, please do not hesitate to contact our Customer Service Hotline at 1-888-SMOKE-51 --- Monday - Friday --- 9a.m. - 6p.m.

WARNING: THIS IS AN ELECTRONIC CIGARETTE. THIS PRODUCT IS NOT AN AID FOR SMOKING CESSATION. THIS PRODUCT IN NO WAY INTENDS TO DIAGNOSE, TREAT, CURE, OR MITIGATE ANY DISEASE OR CONDITION. NICOTINE IS HIGHLY ADDICTIVE, AND THIS ELECTRONIC CIGARETTE HAS NOT BEEN APPROVED BY THE UNITED STATES FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IN NO WAY CLAIMS TO ASSIST USER IN QUITTING OR LESSENING FREQUENCY OF SMOKING TRADITIONAL TOBACCO CIGARETTES. KEEP PRODUCT AND ITS COMPONENT PARTS OUT OF REACH OF CHILDREN. REFRAIN FROM USING THIS PRODUCT IF YOU ARE UNDER THE LEGAL SMOKING AGE IN YOUR STATE.

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