MEMBERSHIP APPLICATION

 

ARKANSAS HORSESHOE PITCHERS ASSOCIATION

NATIONAL HORSESHOE PITCHERS ASSOCIATION

 

Name_______________________________ Home Phone___________________________

Address_____________________________ Cell Phone_____________________________

City__________________________________ Zip Code_________________________

E-Mail_________________________________________ DOB____________________

If renewing give NHPA#______________________Approx. yrs. in NHPA________

New Members Check______

Check One Of The Following: Adult______ Junior_______(If Junior,DOB)_________

Check One Of The Following: Male_____ Female_____ Girl_____ Boy_____

Check One: 40ft. Pitcher_______ Less Than 40ft. Pitcher______

Club Affiliation If Any: ____________________________________

Make check payable to AHPA and send application To:

Darrell Graham, AHPA Sec/Treas

15 Mujeres Ln.

Hot Springs Village, AR 71909

 

Adult Fees: $22.00 ($17.00 National Plus $5.00 State)

Junior Fees: $6.00 ($5.00 National Plus $1.00 State)