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MBCA

Massachusetts Baseball
Coaches Association

Membership Application

MASSACHUSETTS BASEBALL COACHES ASSOCIATION
REGISTRATION FORM

Name:_______________________________________________Date:____________________________

Home Address:Street___________________________________

Town____________________________________Zip Code:________________________

Home Phone:______________________________

E-Mail Address:__________________________________________________

School:______________________________________________School Phone:_____________________

School Town:_________________________________________Zip Code:_________________________

School League:________________________________________

Section  -  Circle One:    North,  South,  Central,  West,  Private,  College

Position  -  Circle One:   HV,   AV,   JV,   F,   JH

Member  -  Circle One:   Active,    Allied,   Honorary
                                      $30.00    $20.00

Mail your dues (make checks payable to: MBCA) and your membership registration form to the MBCA Membership Coordinator, Mr. Bill Tompkins, 23 County Street, Foxboro, MA  02035.