welcome


Maine Horseshoe Pitching

N.H.P.A./M.H.P.A  Membership 

Application Form 2019

 

Name   _________________________________________________

 
Address _________________________________________________

 
City______________________      Zip _____________________

 
Phone______________________      Cell Phone__________________

 
Date of Birth ______________

 
E-mail address _____________________________________________

 
New   ____        Renewal   ____   NHPA card #   _________________     

 
How many years?  _____________and/or year started___________________

 
Circle category:

 
Men 40 feet       Elders 30 feet       Women 30 feet       Jr Boys     Jr Girls     Cadet

 
Med/Exempt       ( medical must include Medical Exemption Application ) 

 
Adults:  $25 for NHPA and $10 for MHPA, total $35
Juniors: $5 for NHPA and $5 for MHPA, total $10

 

Darlene F Gammon
P.O.Box 10
Porter, Maine 04068

dfgammon@gmail.com
cell 207-712-4064
home 207-625-4808