New York Blues Membership Application Form
NYB Membership #
Chelsea True Blue Membership #
Street Address, City, State, Zip, Country
What New York Blues membership type would you like for the 2019/2020 season?
Note : Please add $2 for International Postage
Single - Just yourself ($15)
Family - (you & up to 3 IMMEDIATE Family Members - $30)
If you selected the family membership, please list the members you would like to include.
Payment Method (information below)
Who was your player of the year for the 2018/2019 season?
I hereby declare that the above information is correct.
Please make checks payable to Danny White and send to:
108 Madison Avenue
Midland Park, NJ 07432
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