* Member Card Number : Membership Card Number can be found on the back of your membership card at the bottom right corner. Personal Information * Title :---MrMrsMsMiss * First Name : Middle Initial *!! Last Name : * Email : * Phone Number : Birthday : Enrollment Location Store :---Cafe Siam K-TownCafe Siam LKFHavana LKFThe Jockey Happy ValleyMcSorley’s Ale House SohoCoyote Bar & Grill Wan ChaiGrand Central Bar & GrillMcSorley’s Ale House Discovery BayCoyote Mexican Cantina Discovery BayMcSorley’s Ale House The Venetian Macau I agree to the use of my personal data for promotional purposes for the bars and restaurants managed by Eclipse Hospitality Group.* SUBMIT × Information Verification Membership details Member Card Number: Personal Information Title: First Name: Middle Initial: Last Name: Email: Phone Number: Birthday: Enrollment Location Store:
