HWTA Membership Form

HWTA Membership Form

New Member______Renew______Date___________________USTA RATING______
Name:________________________________________________________________
Address:______________________________________________________________
City:________________________State:________Zip:__________________________
Home Phone:__________________________________________________________
Work-Phone:_________________________________CELL:_________________________
E-MAIL ADDRESS:______________________________________________________

Has your information changed since last year ?    YES   or   NO  ( please circle one )
If YES please circle what info has changed.

The above information will be used for HWTA’s Handbook. If you do not want the information in the handbook leave the space blank.

Membership dues are $15.00/year, due each December 31. Please make your check out to HWTA and mail to HWTA Membership,c/o Cindy Gattis, 809 Muriel Drive,Huntsville, AL 35802

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