Florida Half Century Amateur Softball Association
Team registration
08/19/2017
Team Registration Form For 2017


Team Name
  Division:   


 


Team Contact Person
Address
City, State, Zip
Phone Cell Email


 


Field Manager
Address
City, State, Zip
Phone Cell Email


 


  Signature




Registration Fee is $150.00 (US funds) made payable to:
Florida Half Century ASA, Inc.
PLEASE COMPLETELY FILL OUT THE ABOVE FORM LEGIBLY (Typing Preferred) AND MAIL TO:
Bud Wortendyke, FHCASA Treasurer
8140 52nd Lane N.
Pinellas Park, Florida, 33781

PLEASE COMPLETELY FILL OUT THE ABOVE FORM LEGIBLY (Typing Preferred) AND MAIL TO:
 
Bud Wortendyke, FHCASA Treasurer
8140 52nd Lane N.
Pinellas Park, Florida, 33781
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