MEMBERSHIP APPLICATION
Missouri Horseshoe Pitchers Association
National Horseshoe Pitchers Association

The NHPA card is a combined membership in your state and national horseshoe pitching associations. This card entitles you to participate in NHPA sanctioned play throughout the United States and much of Canada, wherever you meet the entry requirements for the event. You must pay your dues through the state charter where you maintain legal residence as determined by voting, tax and/or drivers license laws. Dues are based on the calender year. New members may pay next years dues after Oct. 1st of the current year and will be eligible to participate in sanctioned events the final 3 months of the current year, as well as all of the next year.
As a member of the Missouri Charter, you will receive SHOE BIZ three times a year free of charge. This will keep you informed of events within our state. Our statistician will be recording your pitching stats from all sanctioned events and will be be forwarding these stats to the NHPA stats headquarters called NatStats. These stats are updated weekly and can be accessed through either the NHPA or the MOHPA websites. To make all of this possible, your NHPA card will have six digits followed by two decimals. Missouri is region 19, followed by four digits which are your number. The two decimals represent the calender year. The decimal and color of the NHPA card change each year. Your number will remain with you as long as you reside in Missouri and continue to maintain your membership. If you ever lose your NHPA card, the charter secretary will issue you a duplicate card free of charge. You need only notify her.
Please fill in all information on the form below that applies to you and mail the application and total amount of dues to the MOHPA Sec/Treas. (address below) Please make checks payable to: MOHPA
Jim Bainter                  ADULT DUES            JUNIORS & CADETS
MOHPA Sec/Treas.              25.00 National        5.00 National
31870 Sunset Rd.              11.00 State           0.00 State
Gravois Mills, MO 65037       $36.00 Total          $5.00 Total
Phone: (816) 918-6789         E-mail: mo4dead@charter.net
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(Cut along dotted line and return this portion with dues.)
Name:_____________________________________ Phone: ____________________
St. Address or P.O. Box:________________________ Date of Birth:_____________
City: ____________________________Zip:__________ E-Mail:____________________ If Renewing Give NHPA#________ Approx. Yrs in NHPA____ New Members Check____ Club Affiliation if Any:____________________________________________________
CHECK ONE OF THE FOLLOWING: ADULT _____ JUNIOR _____ JUNIOR CADET _____ CHECK ONE OF THE FOLLOWING: MALE _____ FEMALE _____ CHECK ONE OF THE FOLLOWING: 40' PITCHER ____ LESS THAN 40' PITCHER _____