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DOWNLOAD AS PDF
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Florida Half Century Amateur Softball Association
Replacement / Updated Card
12/12/2019
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Replacement / Updated Card
| Full Legal Name |
| Permanent Home Address |
| City | County | State | Zip |
| Telephone Number | Date of Birth |
Part Time Florida Residents complete this section
| Months residing in Florida: From | to |
| Street Address in FL |
| City | County | Zip |
| Telephone number, if different from above |
| Current FHC number | If not known, approximate year you got your card |
Reason for needing a new Card:
| Lost original, same address above |
| Moved to a new Area - new address is above |
| old address |
| Requesting to be Grandfathered to old area. Explanation for why you want to be grandfathered: |
| I have not been on roster for any teams in new area |
| I would like to be grandfathered in so I can continue to play with my current team: |
Grandfathering Requests must go through the Chairman, Mike Knowles. Call 941 725-0790 to explain your situation. If approved, he will write the date here ______________________________
Mail:
1. Completed form
2. $15 replacement fee - Personal or Business Check / Money Order / Cashier's Check
Payable to Florida Half Century ASA, Inc.
3. Copy of current Driver's License or proof of current residence.
1. Completed form
2. $15 replacement fee - Personal or Business Check / Money Order / Cashier's Check
Payable to Florida Half Century ASA, Inc.
3. Copy of current Driver's License or proof of current residence.
| Date | Signature of Applicant |
|
Type or Print Legibly, mail this application, proof of address and fee to:
Mike Knowles
3806 30th Lane E.
Bradenton, Fl 34208
Call 941 725-0790, if questions
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DOWNLOAD AS PDF
Type or Print Legibly, mail this application, proof of address and fee to:
Mike Knowles
3806 30th Lane E.
Bradenton, Fl 34208
Call 941 725-0790, if questions
Call 941 725-0790, if questions
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