FSHPA INC. MEMBER INFORMATION
NHPA DUES ARE $17.00 AND STATE DUES ARE $11.00
NAME: _________________________________________________ NHPA NUMBER ____________________
CITY:
SEND
NEWSLETTER TO ABOVE ADDRESS FOR ISSUES (CIRCLE THOSE THAT APPLY) MAR JUN SEP DEC
DATE
OF ISSUE IS FIRST DAY OF INDICATED MONTH.
IF YOU WANT DELIVERY OF NEWSLETTER THROUGH
OUT
OF STATE ADDRESS:
_____________________________________________________________________
CITY:
_____________________________________________________ STATE:
______________ ZIP CODE: ____________________
SEND
NEWSLETTER TO OUT OF STATE ADDRESS FOR ISSUES (CIRCLE THOSE THAT APPLY) MAR JUN
SEP DEC
ABOVE
LINE DOES NOT APPLY IF YOU CHOOSE TO RECEIVE THE NEWSLETTER THROUGH THE
STATE
OF
CIRCLE CATEGORY BELOW THAT
APPLIES TO YOU
MALE
PITCHING 40 FEET HANDICAPPED
MALE PITCHING 30 FEET
ELDER MALE PITCHING 30 FEET
WOMAN JUNIOR
BOY JUNIOR GIRL CADET (12 AND UNDER)
BIRTH
DATE IF JUNIOR BOY ,
GIRL OR CADET
___________________________
SPONSORED
BY:_________________________________________________
RETURN
TO: MARCELA SANTOYO 10166 PINK CARNATION CT.
FSHPA INC. MEMBER INFORMATION
NHPA DUES ARE $17.00 AND STATE DUES ARE $11.00
NAME: _________________________________________________ NHPA NUMBER ____________________
CITY:
SEND
NEWSLETTER TO ABOVE ADDRESS FOR ISSUES (CIRCLE THOSE THAT APPLY) MAR
JUN SEP DEC
DATE
OF ISSUE IS FIRST DAY OF INDICATED MONTH.
. IF YOU WANT DELIVERY OF
NEWSLETTER THROUGH
OUT
OF STATE ADDRESS:
_____________________________________________________________________
CITY:
_____________________________________________________ STATE:
______________ ZIP CODE: ____________________
SEND
NEWSLETTER TO OUT OF STATE ADDRESS FOR ISSUES (CIRCLE THOSE THAT APPLY) MAR JUN
SEP DEC
ABOVE
LINE DOES NOT APPLY IF YOU CHOOSE TO RECEIVE THE NEWSLETTER THROUGH THE
STATE
OF
CIRCLE CATEGORY BELOW THAT
APPLIES TO YOU
MALE
PITCHING 40 FEET HANDICAPPED
MALE PITCHING 30 FEET
ELDER MALE PITCHING 30 FEET 70+
WOMAN JUNIOR
BOY
JUNIOR GIRL
CADET (12
AND UNDER)
BIRTH
DATE IF JUNIOR BOY,
GIRL OR CADET
___________________________
SPONSORED
BY:_________________________________________________
RETURN
TO: MARCELA SANTOYO 10166 PINK CARNATION CT.