Yes, I want to be a member of the Manitoba Handball Association (check one):

I want to renew my Individual Membership with the Manitoba Handball Association. I have enclosed a cheque for $15.00.

I want to renew my Family Membership with the Manitoba Handball Association. I have enclosed a cheque for $25.00.

I am a Junior Member. 19 and under. (No membership fee).

I wish to renew my membership as an Associate / non - playing Member (I have enclosed a cheque for $10.00). 
Surname:
First Name and Intitial
Address:
 Postal Code:
Home Phone:
 Business Phone:
Date of Birth:
 Playing Category:
Home Court:

Please include payment with the form and mail to the address below. (due April 3 / 2008)  - Thank you

Please make cheques payable to: 

Manitoba Handball Assoc. 
200 Main Street
Winnipeg, Manitoba
R3C 4M2                                       

For Office Use Only

Membership Number___________________________

Date Received____________________________

Received by:_____________________________