| NBBA FAMILY/CHILD MEMBERSHIP |
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| TEAM NAME:
_____________________________________ |
YEAR: ________________________ |
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| CITY, STATE:
_____________________________________ |
Mail to NBBA Secretary along with Membership dues. |
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| FAMILY MEMBER NAME
($4/member) |
STREET ADDRESS |
CITY, STATE, ZIP CODE |
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| NOTE: After June 1st, ALL MEMBERSHIP DUES ARE $10 per member |
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| CHILD MEMBER NAME*
($2.50/member) |
STREET ADDRESS |
CITY, STATE, ZIP CODE |
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| *Child must be 12 yrs.
old or younger |
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| PLEASE ATTACH
THIS FORM TO THE TEAM CONTACT/BILLING FORM ALONG WITH THE TEAM ROSTER FORM |
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