FSHPA INC. MEMBER INFORMATION
NHPA DUES ARE $17.00 AND STATE DUES ARE $11.00
NAME: _________________________________________________ NHPA NUMBER
____________________
CITY:
Go to
http://www.fshpa.com
to display and/or print Quarterly Newsletter
Newsletters are posted the first day of each quarter
March, June, September and December
OUT OF STATE
ADDRESS:
_____________________________________________________________________
CITY:
_____________________________________________________ STATE:
______________ ZIP CODE: ____________________
STATE OF
CIRCLE CATEGORY BELOW THAT APPLIES TO YOU
MALE
PITCHING 40 FEET HANDICAPPED
MALE PITCHING 30 FEET
ELDER MALE PITCHING 30 FEET
WOMAN
PITCHING 30 FEET JUNIOR BOY
PITCHING 30 FEET JUNIOR GIRL
PITCHING 30 FEET
BIRTH DATE
IF JUNIOR BOY OR GIRL
___________________________
RETURN
TO: MARCELA SANTOYO