Membership Application Form



You may submit the following form via email simply by clicking on the "JOIN NOW" button
or you may print the form and mail to:

W.S.H.P.A. Secretary/Treasurer
Roger Higgins
16440 Ridgeview Ct
Holly, MI 48442-8392

Membership cards will be issued upon receipt of payment


Make Payable to: W.S.H.P.A.

Cards Cost:
  $30.00 for adults,
  $23.00 for the second adult card in the same household,
  $ 0.00 for juniors
  $ 8.00 for 'Ringer Report' Subscriptions only

NOTE: Annual Membership fee includes NHPA and WSHPA dues.
Full price adult membership card includes 'Ringer Report' Subscription.


JOIN NOW

First Name:*
Last Name:*
email address:*
Mailing Address:*
City:*
State:Michigan
Zip Code:*
Area Code:*
Phone No:*
Date of Birth:*
Category:
[you must select the category
to which you belong]
Applying as
For Renewals enter
number of years:
email address:*

* Required Information


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