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FORM 3B FORM 3B

Florida Half Century ASA, Inc.

Plaver's Roster Change Form


DATE
I FHCASA #
hereby transfer from Division
to: Division
In making this roster change, I understand that I will not be eligible to return to the team I resigned from, including as a pickup player, for a minimum of 6 months from the date of my resignation.
Form 3B must be submitted to the Secretary or Commissioner before playing in a tournament and should be submitted no later than close of business on the Monday before the tournament when the change is expected to take place.
PLAYER MUST COMPLETE THE FOLLOWING INFORMATION.
Name:
Address:
City, State, Zip:
Phone:
PLAYER’S SIGNATURE
This transfer is accepted and approved by :
RECEIVING MANAGER’S SIGNATURE
MAIL COMPLETED FORM TO:
Greg Hazel
6700 150‘Ave N #200
Clearwater, FL 33764