Upon each approval the membership fee will be taken from your first night's entrance fee. Must be 21 to apply. Your information will be not be shared with other sources and will be kept private for the use of the Manayunk Club only. For any concerns or questions please call 215.351.9026 or email us.   (All Fields Are Required)

First Name


Last Name


Email


Drivers License Number


Street Address


City


State


Zip

Gender
Male
Female

Birthday (mm/dd/yyyy)



Phone Number


Fax Number


Your Industry


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Yes
No