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Men

Women

Associate

Associate w/Shoes News

Junior

Lifetimew/Shoes News

NHPA Dues and Insurance

$12.00

$12.00

-0-

$5.00

$12.00

WSHPA Dues includingNewsletter

$20.00

$20.00

$3.00

$13.00

$1.00

$15.00-

NHPA Newsline (Optional)

$12.00

$12.00

$12.00

$12.00

Total

$44.00

$44.00

$3.00

$13.00

$28.00

$39.00

Associate Member...(Spouse or other non-pitcher.) Lifetime Member...(Pitcher over 70 years. Must notify Margaret.)

Please send completed form along with your annual dues to: WSHPA Treasurer

Margaret Byfield

17040 Brunswick

Mt. Vernon WA 98273 Make Check Payable to...WSHPA.

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Membership Application ________Check if Associate Member:

Name______________________________________________________Date of Birth__________________________

Spouse’s Name______________________________________________Date of Birth__________________________

Address______________________________________________Email Address_______________________________

City__________________________________________Zip______________Tel_______________________________

Pitching Catagory (check one)

______40’ man Summary of your payment:.........

______Less than 40’ man Associate Dues___________________

______Woman Pitchers Dues____________________

______Jr. Boy* Newsline Subscription___________________

______Jr. Girl* Total___________________

* 18th Birthdate in 2001 or younger

To download a printable PDF copy of this form, please click on the link below.
PDF Registration Form
If you don't have Adobe Reader installed on your
computer, please click on the image below to download
your free copy from the Adobe website.
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