Learn more about the program. Apply Below Name* First Last Phone*Email* Address* City State / Province / Region ZIP / Postal Code Preferred Time*Select OneBreakfastLunchDinnerPreferred Day*Select OneMondayTuesdayWednesdayThursdayFridaySaturdaySundayGender*Select OneFemaleMalePreferred Form Of Communication*Choose OnePhoneEmailAge Range*Select One18-2526-3434-5050-6060+How Often Do You Visit Manuel's?*Choose OneDailyWeeklyMonthlyQuarterlySemi AnnuallyNever Been