Membership application

Please do not use this old form anymore. It has been replaced with the online membership application, which can if necessary be printed out for offline use.

NASPA Membership Application

No staples, please. Please complete this form typed or in black or blue ink and return it with your membership fee of $30 (US dollars only) to:

NASPA
48 FLAMEHILL RD
LEVITTOWN PA 19056
USA

Name________________________________________________________________________

How do you want to be listed on the NASPA rating list?_______________________________

Address______________________________________________________________________

City, State/Province_____________________________________________________________

Zip/Postal Code________________________________________________________________

Country______________________________________________________________________

Email________________________________________________________________________

Phone________________________________________________________________________

Exact wording of your name on the NSA rating list:____________________________________

Old NSA player number:_______________NASPA number if already assigned:_____________

If you want to pay $50 instead of $30 you can pick a “vanity” player number. You can see the current member number at http://www.scrabbleplayers.org/w/Membership . If you want a “vanity number, please list it here:

Vanity number requested:___________________