2024 NCJLA Club Contact Form
Please provide the contact information that should be listed for your club for official NCJLA use. 

This information will be kept internal and not published to the website. 

It should take about 5-10min to complete and you will receive a confirmation email at the end. At a later time your club will be asked for the contact information that should be listed as PUBLIC on the website.
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Email *
Club Name *
Mailing Address Contact Full Name
Mailing Address: # street
Mailing Address: City
Mailing Address: zip code
Is this the address for shipping game supplies?
Shipping Address- please include all relevant information, #, street name, city , state and zip code
Any special instructions for the SHIPPING ADDRESS?
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