Online Membership Application

Instructions:

To use the Membership Application, please fill in all the fields. Use your mouse, or the tab key to move to the next field. If you press the ENTER KEY it will send the form. If you do press enter before you finish, please go back to the application and re-enter your information.

First some Information About You.
First Name:
Middle Initial:
Last Name:
Age:
Sex:	Male Female

Next Where you live
Street Address:
City:
State:
Zipcode:
Home Phone:
Employer:
Work Phone:

And now some information about your bowling
Have you ever used other names in tournament or league play? Yes No
If yes, list all other names used:

Highest current sanctioned book avg:				# of Games:
Current years sanctioned book avg.:				# of Games:
House:			Assoc:
Previous years sanctioned book avg.:				# of Games:
House:			Assoc:
What is the highest summer league avg. you have carried:
Any other tournament club average(s):
Have you ever been Re-rated:	YesNo	Year:		Re-rated avg.:

Have you won or Qualified to win $300, or more in any tournament in the past 12 months:	YesNo
Have you won $3000, or more in any tournament in the last 5 years:	YesNo
If yes to above, list scores and amount won:

Have you ever averaged over 205	Yes No	Years
Have you ever been a member of PBA/LPBT:	Yes No	Years
NABI	Yes No	Years
Have you ever belonged to any professional bowling group or assoc.			Yes No
Are you familiar with ABC/WIBC Rules 316, 319:			Yes No
What is your E-Mail Address: