2013 HSTPA Membership Form

Name:______________________________________________

Address:______________________________________________

Email address_______________________________________

City: ____________________________State: ________Zip_________

Phone:______________________Cell Phone:______________________

Class:________Vehicle Name______________________________

NTPA#___________

2013 Membership fee $125.00 before March 1st $175.00 after March 1st.

If you wish to receive 2013 end of season point money, competitor
must post a additional $100.00 point money by April 1st, 2013

Make checks payable to HSTPA

Membership fee__________
         Point fee __________
               Total __________