ASHPA/NHPA MEMBERSHIP FORM
Current Arizona Player Number (first 6 digits - leave blank if new): _____________
(Name must be as it appears or you want it to appear on NatStats! Please PRINT legibly)
NAME - First:______________________ Last:___________________________________
Mailing Address: ___________________________________________________________
City: _________________________________________ Zipcd: _____________________
*Email Address: ___________________________________________________________
Date of Birth: ____/____/____ Contact Phone Number: (______) _________________
Category (select the appropriate one by marking with an “X”):
_____ Men’s - 40‘ _____ Junior Cadets
_____ Men’s less than 40‘ _______ Junior Boys
_____ Physically Challenged _______ Junior Girls
_____ Women _____TD only
PLEASE complete ALL fields above (required by NHPA). Incomplete forms will be returned for missing information. Remit this form with payment of $30.00 (Juniors - $5.00) (Please - NO CASH!). If you use online banking for payments, please indicate here (“X”): ____.
* (Email is highly desired by the ASHPA Sec/Treas. for faster and more accurate communication to members. If you have one, please provide it. It will ONLY be used by ASHPA for member communication! If you do not have one, indicate “None”. Thank you!)
NOTE: New members must throw 100 shoes to be sanctioned AND must be witnessed by two (2) current sanctioned NHPA members. A score sheet with signatures of the two (2) NHPA members and the date of the event must accompany this form with payment! This must occur within 30 days of the occurrence!!
_______ Ringers out of 100 shoes thrown.
Remit to: ASHPA
POB 27245
Tucson, AZ 85726
For further information, please contact:
BJ
ASHPA Sec/Treas/Statisticain
(520) 907-7116