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MEMBERSHIP APPLICATION
TEAM INFORMATION
Please print & complete the membership  information below correctly using upper and lower case characters.  Required  fields are in this color.
 Make Check  payable to
AFA in the amount of $35.00.  Please Enclose copy of  Roster. 

  STATE:  _______________________________ 

 ASSOCIATION:  _______________________________ 

 TEAM NAME:  _______________________________

 CONTACT FIRST NAME:  _______________________________

 CONTACT LAST NAME:  _______________________________

 ADDRESS:  __________________________________________

 CITY STATE ZIP:  _______________________________

 HOME  PHONE:_______________________________

 MOBILE  PHONE:_______________________________

 WORK PHONE:  _______________________________

 E-MAIL:  _______________________________

 AGE  DIVISION: _______________________________

 YEARS IN EXISTENCE:  _______________________________

 TRAVEL/TOURNAMENT  TEAM:________
LEAGUE/RECREATIONAL TEAM:________

 Mail to:

AFA
6025 West Nickel Way
Salt Lake  City, UT84118