NBBA TEAM CONTACT/BILLING FORM

*TEAM ROSTER MEMBERSHIP*

INITIAL ROSTER DUE: JUNE 1st

FINAL ROSTER DUE: JULY 1st

 

 

 TEAM NAME:___________________________     YEAR:__________

 

 TEAM CONTACTS (Please list 2):

 

 NAME:_______________________________________

 

ADDRESS:____________________________________

 

CITY,STATE,ZIP:_____________________________

 

PHONE NUMBER:

(Home)_________________________   (Work)_________________________

         

 

NAME:_______________________________________

 

ADDRESS:____________________________________

 

CITY,STATE,ZIP:_____________________________

 

PHONE NUMBER:

(Home)_________________________   (Work)_________________________

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INDIVIDUAL MEMBERSHIPS: (NOTE: All memberships are $20 after 6/1)

 

______ Regular Members @ $10.00/member (until 6/1)                $______

______ Regular Members @ $20.00/member (after 6/1)              $______

______ Family Members @ $10.00/member                                  $______

______ Child Members @ $10/member (Age 12 & under)        $______

 

WORLD SERIES REGISTRATION: $310 per team                    $________

 

                        TOTAL DUE:                                                    $_________

**MAKE CHECKS PAYABLE TO NBBA.

 

SEND THIS FORM, A COPY OF YOUR TEAM ROSTER/MEMBERSHIP FORM, AND A CHECK (NO LATER THAN JUNE 1st AND JULY 1st) TO:

 

                JEANA WEIGAND, NBBA SECRETARY

                5568 Boulder Crest Street

                Columbus, OH 43235

 

If you have questions concerning this form, please call Jeana at (614) 442-1444.

 

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