Apply Online Or you may fill out and print the application form here. All fields are required. First Name: Last Name: Email Address: Cell Number: Home Address: City/Town: State: Zip: Employer Name: Who Is Your Sponsor? Please provide a link to your Facebook for us to add you to the Lounge private page: What value would you bring to Main Street Lounge if you are selected to be a member? Have you ever been convicted of a Felony? YesNo If yes, please explain: Please prove you are human by selecting the car.