Manayunk Neighborhood Council Membership Form
January 1 to December 31, 2016
$5 Student/Senior $15 Household $100 Patron
$10 Individual $50 Business or Supporter Other $________
Name Phone
Address Email
City, State, Zip Date
Signature
Make check payable to Manayunk Neighborhood Council and mail to PO Box 4667, Phila., PA 19127

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