CPQ Membership form

member Information

Name:

 

 

 

Address:

 

City/State:

 

Zip Code:

 

Email Address:

 

How long playing your sport (handball/paddleball)?

 

Hobbies:

 

 

 

Signature

Signature of Member:

 

Date:

To join CPQ International Handball Paddleball, Inc., submit completed form and $50.00 money order to Tony Roberts or Melody Ruiz.

Money order should be made out to CPQ International Handball Paddleball, Inc.