Associate membership includes:

• HSTPA patch
• HSTPA Decal
• HSTPA schedule book
• be included on our mail list.

HSTPA Associate membership fee is $40.00 per year and will be valid thru December 31th of paid year.

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2013 HSTPA Associate

Membership form

Name:_______________________________________

Address:_____________________________________

City: ________________________________________

State: ___________ Zip_________

Email Address________________________________

Phone:__________________________

Cell Phone:______________________

Make checks payable to HSTPA

Date paid_____________ Check #____________ Total __________

Mail to HSTPA, 6705 E 900N, Brownsburg, IN 46112