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    Cadet

Date of Birth _________________Required

Newsline _______          

Total Years Membership __________

Email Address:  _________________________

Send Application and Fees to:

ILSHPA

P.O. Box 266

New Lenox, IL 60451-0266

Email Address ilshpa@comcast.net

Stamped, self-address envelopes saves us 44 cents!