2012                                                                            NATIONAL  POWERBOAT  ASSOCIATION                                                       ANNUAL MEMBERSHIP FORM                                              Print this form, fill it out and send it with Check or Money Order to:                                            N.P.B.A.,30 Morgan Ave., Greenwich, CT 06831                                     Tel/Fax: (203) 532-1312
Name:
Street Address:
City, State Zip:
E mail address:
Phone:					Fax:
Age:			(must be at least 18 years old)
AN ANNUAL FEE OF  $20.00  IS REQUIRED FOR N.P.B.A. MEMBERSHIP.
Signature:
Date:
~ Membership permits participation in NPBA events for that calendar year ~ ~ All crew must be members ~ Make Check/Money Order Payable to: The National Powerboat Association 30 Morgan Avenue   Greenwich, CT 06831-4940