Please enclose $50 Affiliation Fee.
Recommendation: Cut & Paste the form below to a word-processing program.
Club Name:___________________________________________________________
Playing Site Address*
Name of Building:_____________________________________________________
Address:____________________________________________________________
City, State, Zip:_______________________________________________________
Mailing Address
Correspondent's Name:_________________________________________________
Address:____________________________________________________________
City, State, Zip:_______________________________________________________
Telephone:___________________________________________________________
Club Contact*
Name:______________________________________________________________
Telephone/email:_______________________________________________________
Web Page:___________________________________________________________
*Unless otherwise requested, this is the information which will appear in USATT publications
Club Officers
President:_____________________________________________________________
Telephone:____________________________________________________________
Vice President:_________________________________________________________
Telephone:____________________________________________________________
Secretary:_____________________________________________________________
Telephone:____________________________________________________________
Treasurer:_____________________________________________________________
Telephone:_____________________________________________________________
No. of Club Membership Cards Needed:________________________________________