V.I.B. Program

(For Humboldt County, CA residents only.)

Want to Find out more about what's going on at the Bean? One way is to become a Very Important Bean (V.I.B)
member to receive email updates about upcoming drink specials, and to be eligible for exclusive discounts. Fill out our online form and receive these additional privileges:

• Exclusive Discount Opportunities
• Advance Notice on New Merchandise
• Check-writing Privileges
• V.I.B. Window Decal
• V.I.B. Keychain
• Educational Information
• Online Surveys & Notifications

Name (1st & Last) *

Email Address *

Mailing Address *

City *

Zip *

Phone *

Birthday (mm/dd) *

Age *

18-30

30-40

40-50

50+

How often do you visit Jitterbean? *

Which location do you visit the most? *

Harris Street, Eureka

5th Street, Eureka

Broadway, Eureka

G Street, Arcata

Valley West Blvd., Arcata

North Fortuna Blvd., Fortuna

On a scale from 1-10 (with 10 being the highest), how likely are you to recommend Jitter Bean to your family & friends? *

Questions/Comments