2012 Annual Club Affiliation Form
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2012 NNYYSL Annual Club Affiliation Application DUE BY 1/25/2012
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*Club NameNew ClubYes NoMail To:
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Cirlce the above
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* Address:City* Zip Code:
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OfficerNameAddressCityZipPhone (ONE REQ'D) E-Mail (ONE REQUIRED!)
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* PresidentNYHH
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ZIPWW
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Vice PresNYHH
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ZIPWW
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* NNYYSLNYHH
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DelegateZIPWW
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NNYYSLNYHH
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Alt. DelegateZIPWW
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* TreasurerNYHH
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ZIPWW
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* RegistrarNYHH
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ZIPWW
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Director NYHH
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of CoachesZIPWW
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CLUB PRESIDENT/VICE PRES. SIGNATURE:
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CLUB PRESIDENT/VICE PRES. NAME/DATE
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1.) ALL BOLD and * must completed to approve Club Application. 2) Club By-Laws must be attached with application unless your By-laws are already on file
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Club Affiliation