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NEBA ENROLLMENT FORM
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First Name
Your answer
Last Name
Your answer
Middle Initial
Your answer
Type of Membership
New Member ($25) - Never paid full membership in past
Renewal ($25) - Past Member
Active Military New Member ($0)
Active Military Renewal ($0)
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Street Address
Your answer
City/Town
Your answer
State
Your answer
Zip Code
Your answer
E-mail
Your answer
Are you on the NEBA email list?
Yes - I receive emails from NEBA
No
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Phone Number - Home
Your answer
Phone Number - Cell
Your answer
Home Bowling Center - Name, City, State
Your answer
Other Bowling Centers You Bowl League In - Name, City, State
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Hand Used Bowling
Left
Right
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If first entry, how did you find out about NEBA?
Your answer
Do you want to be on our text list?
Yes
No
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Do you follow NEBA or BowlNEBA on:
Yes
No
Instagram
Twitter
Facebook
Yes
No
Instagram
Twitter
Facebook
Do you go on BowlNEBA.com?
Yes
No
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Are you a current USBC member:
Yes - Adult
Yes - Youth
No
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By entering your full name below, you certify that you are a USBC Member in good standing and have read and will abide by the rules of NEBA
Your answer
How do you plan to pay for your membership?
Venmo
CashApp
Cash on-site
No payment needed
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