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2018-19 NFHCA Membership Application
First Name
Last Name
School / Club / Affiliation
Mailing Address
City
State
Zip
Email
Contact Telephone
MEMBERSHIP OPTIONS
Membership Category
-- Select --
Junior High - Head Coach $50.00
Junior High - Assistant Coach $25.00
Umpire $50.00
Administrator $50.00
Friend of the Game $50.00
Lifetime Member (55+ years of age) $300.00
PAYMENT OPTIONS
Credit Card #
Expiration (mm/yy)
Name On Card
CCV
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