MSHA Membership/Newsletter Subscription Form

Annual subscriptions are free to all those that participate in at least one state tournament each year or are included in your annual membership fee. A subscription fee of $10 from others is required to defray printing and mailing costs.

Name: _________________________________________________

Address: ______________________________________________________

City: __________________________ State: _______ ZIP: ___________

Home Phone: __________________ Business Phone: ____________________

Club you play at: ___________________________ Birth Year: ______

___ Yes, I would like to help out by voluntarily converting to an annual membership.

___ No, I do not wish to give up my lifetime status but I have enclosed a donation of

$_______ to help defray expenses. Mail to:

___ Enclosed is $10 for my annual subscription. MSHA: c/o Sheldon Silberman

___ Enclosed is $10 for my Annual Membership. 120 North Westwood Drive

___ Please change my address as indicated. Golden Valley, MN 55422-5259