NEBA ENROLLMENT FORM
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First Name
Last Name
Middle Initial
Type of Membership
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Street Address
City/Town
State
Zip Code
E-mail
Are you on the NEBA email list?
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Phone Number - Home
Phone Number - Cell
Home Bowling Center - Name, City, State
Other Bowling Centers You Bowl League In - Name, City, State
Date of Birth
MM
/
DD
/
YYYY
Age
Hand Used Bowling
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If first entry, how did you find out about NEBA?
Do you want to be on our text list?
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Do you follow NEBA or BowlNEBA on:
Yes
No
Instagram
Twitter
Facebook
Do you go on BowlNEBA.com?
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Are you a current USBC member:
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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
How do you plan to pay for your membership?
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