NEW JERSEY STATE HORSESHOE PITCHERS’ ASSOCIATION
2017   NHPA / NJSHPA MEMBERSHIP APPLICATION
MEN / WOMEN……………………………….…..$30.00  
****NEW MEMBER in 1st Year…………..…..…$17.00
JUNIORS……………………………………….…..$5.00                
_______________________________________________________________________________
Return this portion with payment to:                           Lou Cataldi
                        1310 Laurel Road
                        Lindenwold, NJ 08021-3758
Please print clearly:                                                                                  Date
Last Name _____________________________  First Name ________________________   Initial ________
Street Address _________________________________________________________________________
City ____________________________       ZIP (Full 9 digits)      ___ ___ ___ ___ ___ - ___ ___ ___ ___      
Area Code & Phone Number  (           )  _________________________  County ___________________       
First Name of Spouse (Optional) _________________ Email ____________________________________
30 or 40 Ft Pitcher __________                                                         MALE   /   FEMALE   /   JUNIOR
Years of Membership in NHPA / NJSHPA ___________     Current Card # ___________________________
Club Memberships ________________________________________________________________________
NHPA / NJSHPA  Membership Dues  $ __________
Make all checks  and money orders payable to NJSHPA.
Date  _____________________
Birth Date  _____________________
NJ Dues of $13 Waived in 1st Year for New Member
and for Former Member who has not joined for
the past 5 years
National Dues—$17 / NJ Dues—$13