MEMBERSHIP APPLICATION 2001-2002
 
 

HEAD COACH________________________________________________

ASSISTANT COACHES_________________________________________

SCHOOL/AFFILIATION________________________________________

OFFICE ADDRESS_____________________________________________

_____________________________________________________________

_______________________________________ZIP CODE_____________

OFFICE PHONE_____________________OFFICE FAX_______________

EMAIL ADDRESS_____________________________________________

DIVISION_______________LEAGUE AFFILIATION________________

Please check the appropriate membership

Active Membership $100.00_______________

Allied Membership $25.00________________

Please make check payable to the A.W.H.C.A.

Return check and application to:

Jill Pohtilla
Secretary/Treasurer AWHCA
Augsburg College
2211 Riverside Ave., CB279
Minneapolis, MN 55454

DEADLINE FOR JOINING WILL BE FEBRUARY 15, 2002.