NATIONAL MASTERS RACQUETBALL ASSOCIATION
APPLICATION FOR MEMBERSHIP
 

NAME: 

ADDRESS: 

CITY:      STATE:    ZIP:    COUNTRY: 

PHONE:  (Home)      (Work)   
                    (Fax)          (Cell) 

DATE OF BIRTH: (mm/dd/yy)    PLEASE INDICATE GENDER:  Male  Female

E-MAIL:      MEMBERSHIP TYPE:  New   Renewal
 

MEMBERSHIP FEE:  $45.00 FOR THREE (3) YEARS INCLUDES ALL BENEFITS OF MEMBERSHIP.
Pay by CHECK or MONEY ORDER made payable to "NMRA"

 

Send payment to: NMRA

Merijean Kelley
 Membership Coordinator
959 Matadero Avenue
Palo Alto CA 94306

Questions? Contact:

Merijean Kelley
Phone: 1-650-856-2292
e-mail:
 mkelley959@aol.com

 

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