Application To Join EPHPA & NHPA

National Horseshoe Pitcher Association

 

$20.00

Regular Yearly Dues (including insurance)

$ 8.00 Junior Yearly Dues (under 18 years of age)

  Name ___________________________________________

Street Address ___________________________________

City/State/Zip ____________________________________

Telephone _________________    County** _________________

Age ______     DOB _________

 

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Please circle one of the Categories / Divisions which include:

Junior Cadets       Junior Boys       Junior Girls
Open Men            Open Women     Senior Men
Senior Women      Elder Men          Physically Challenged Men

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Make check payable to:

Eastern PA HPA  

 

Send to:

Butch W. Young

122 Frosty Hollow Road

Stillwater, PA 17878

 

Phone (570) 925-5060                                                      

fourdead@chilitech.net

 

  

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**These Counties are housed in the Eastern Pennsylvania Charter

Adams, Berks, Bradford, Bucks, Carbon, Centre, Chester, Clinton, Columbia, Cumberland, Dauphin, Delaware,
Franklin, Fulton, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe,
Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Schuylkill, Snyder, Sullivan,
Susquehanna, Tioga, Union, Wayne, Wyoming,  and York

All other Counties are housed in the Western Pennsylvania Charter.