Commonwealth Club Membership Application

The Commonwealth Club, a private wing of the William Penn Inn,
is a limited membership dining and meeting facility providing the appropriate
environment for business and social entertaining.
As innkeeper, I take pleasure in inviting you to become a member.

Peter R. Friedrich

Simply fill in the information requested below to make your membership application

TYPE OF MEMBERSHIP

Individual Membership - Fee $75 (Husband & Wife may sign)

Corporate Membership - Fee $150 (Includes 3 Members, $15 each additional)

NOTE: All members are billed monthly and all bills are due upon receipt. After 30 days each account will be subject to a service charge of 1.5% per month on the unpaid balance. If the account is turned over to an attorney for collection, the signer agrees to pay all costs of collection including attorney's fees of 25% of the bill.

Your Name and Home Address:
Name:
Address:
City:State:Zip:
Home Phone Number:(include area code)

Company Name:
Company Address:
City:State:Zip:
Business Phone Number:(include area code)

Fax Number:(include area code)

MAJOR CREDIT CARD REFERENCES:

Credit Card Name:Account Number:
Credit Card Name:Account Number:
Credit Card Name:Account Number:

PREFERRED BILLING ADDRESS:

HomeBusiness

Thank you.
Please press this button
to submit your membership application.

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