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Fred Johnson Park Association, Inc.
(FJPA)

Membership Application Form


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2007 MEMBERSHIP APPLICATION

ADULTS - $25.00       JUNIORS - $8.00       SENIORS - $10.00

 

Name: __________________________________________________________________

Address: ________________________________________________________________

City: _____________________________________ State ______________ Zip ________

Phone: (Home) _____________________________ (Work) ________________________

E-mail: ___________________________________ Fax: ___________________________

MEMBERSHIP: ADULTS - $25.00 ____ JUNIORS - $8.00 ____ SENIORS - $10.00 ____

FJPA LADDER: $20.00 + Can of New Balls ____________________

FJPA CONTRIBUTION: $__________________________________

TOURNAMENT: _________________________________________   FEE: $________

TOURNAMENT: _________________________________________   FEE: $________

TOURNAMENT: _________________________________________   FEE: $________

TOTAL AMOUNT: $________________________________________

MAIL TO:   Fred Johnson Park Association, Inc., 129 West 130th Street, New York, NY 10027

For further information, please call: (212) 926-8743;  (212) 866-6997;  (212) 281-9397

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