. (Disregard if you have your card, or maybe you know someone who would like to join)
website 
M.H.P.A. 2010  Application                               (Report # _____ Secretary use only)
Make check for $25.00 payable to the Ma H.P.A.
(N.H.P.A. $17.00, State dues $7.00 N.E $1.00)

Junior membership   Mo___ Day___ Year___
Make check for $8.00 payable to the Ma H.P.A.
(N.H.P.A. $5.00, $3.00 State dues) Adult is 18 years

Mail this to State Secretary Barbara Hanson
87 Williams Road Ashburnham, Ma 01430-1662

2010 Season Ma H.P.A. #__________

Last Name _______________________ First Name________________

Mailing Address____________________________________

City _________________________ State _____ Zip__________  

Telephone   #___________________

Winter Address__________________________
City___________________________ State ___________ Zip__________
                                                
Female 30 feet__
Male 40 Feet __
Senior 40 Feet__
Elder 30 feet __ Date of birth Mo___ Day____ Year_____
Junior Boy / Girl 30 feet __ Circle one
Years known ________

$______ Subscription to Newsline (only if first time Subscriber)
Newsline Subscription $12.00/year
You can include total amount with above check
Which would be $37.00 instead of $25.00

_______Booster contributions go to State Publicity, Prize Money,
Awards, First Year Juniors, and much more
You can also include that with your check or make it separate

Men Turning 70, or over 70 may pitch at 30 feet if they wish to do so
(If for medical reasons can only pitch at 30 feet must have Doctors Letter)
Please keep Barbara Hanson advised as to your pitching status.

(Secretary use only) - Amount of check______ Date of check _______ Check  # _______                                              -
Date Received _____________ 2010 card sent (or given to) ______________