Membership Type*

Standard Memberships - Checking

Standard Memberships - CC

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First Last

Email*

Phone*

Billing Information

Name

First Last

Email

Phone

Date*

Gender*

Address*

Address City State ZIP Code

Initial Payment

First payment must be made with credit or debit card.

Card Info*

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Recurrning Payment

Please enter payment details for monthly autodraft payment method.

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Payment

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Payment

Use the above card details for today’s payment and for all recurring payments

AccountType

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Bank Routing Number*

Bank Account Number*

Name

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Membership Payments in MANHATTAN

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