Blue Hen Basketball Club
Membership Form 2007-2008
Please supply
the following information for club records. You information will not be used
for any purposes other than club activities. For couples please provide both
names.
NAME:
NAME:
ADDRESS:
CITY:
STATE: ZIP CODE:
PHONE NUMBERS:
HOME:
WORK:
CELL:
E-MAIL ADDRESS:
Cost of club is $25.00 per person, $45.00
per couple.
Please send check made out to Blue Hen Basketball
Club to P.O.Box 9803 Newark, DE 19714-4903
If you have any questions,
please contact any board member
Thanks For Joining!!!! Return to Basketball Club Web Page