NHPA Membership Application 

1. Print this form out and send to the address below Adult members--$27.00

2. Junior member--$5.00
   One year subscription to the NHPA NEWSLINE magazine--$12.O0

 Name:  _______________________________

Street:  _______________________________

City:  _________________________________

Zip Code (Plus Four):  __________________

Phone # (____)_____-______________Circle One:

 40’               30’               Junior    CadetDate of Birth _________________RequiredNewsline _______           Total Years Membership __________

Email Address:  _________________________

Send Application and Fees to:

ILSHPAP.O. Box 266
New Lenox, IL 60451-0266
Stamped, self-address envelopes saves us 44 cents!