2012 Membership Application

                         TNRHA memberships are January 1st – December 31st.

 

      ___Individual - $22.00 per year           ___Family - $32.00 per year
                                                   Includes spouse & children under the age of 19

 

      ___Lifetime Individual - $125.00            ___Lifetime for 2 individuals - $205.00                                                                       (same family only)

              

Please list below names of all included persons and their NRHA numbers if available.  Note:  NRHA membership is NOT required to be a member of TNRHA. Please list names as they are listed on NRHA cards.

_____________________________NRHA #_______________

_____________________________NRHA #_______________

_____________________________NRHA #_______________

_____________________________NRHA #_______________

_____________________________NRHA #_______________

Make sure each person listed has completed an affiliate designation form with NRHA in order to be eligible for affiliate finals competition. 

 Address for all correspondence:

 _____________________________________    ______________________  ______  _______
street                                                        city                                state      zip

 

home ph:_________________________     e-mail: ___________________________________

work ph: _________________________

cell ph:  __________________________

Do you prefer to receive correspondence from TNRHA by   MAIL   or    E-MAIL  ? (circle one)



                                Return form to show office or mail with payment to:

                                                    Barbara Brookshire

                                                   441 Flatwoods Road

                                                   Bluff City, TN 37618