UMPIRE MEMBERSHIP APPLICATION 2012

Please conplete the membership information below.

We acccept online payments using MasterCard or Visa.

$40.00 for Slowpitch, $40.00 for Fastpitch, $50.00 for both.

DIVISION:

STATE:

NAME:

EMAIL:

HOME PHONE / AREA CODE:

CELL PHONE / AREA CODE:

ADDRESS:

CITY, STATE, ZIP:

NUMBER OF YEARS UMPIRING

ARE YOU A MEMBER OF OTHER UMPIRE ASSOCIATIONS:

PLEASE LIST:

When you register for AFA Umpire Membership you will receive Medical and Liability insurance, membership card and an AFA Rule Book.

Thank you for your participation.

Slow PitchFastpitchBoth Fastpitch & Slow Pitch

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