UOA Application for 2008

A new application is required every year to keep your membership current.

Members are independent contractors from a tax liability perspective.
    

This form revised December 1, 2007.
Last Name:      First Name:
Street:       
City:             State:   ZIP:
Home Phone: 
Work Phone: 
Cell Phone/Beeper:   
Email Address:          
Social Security Number (optional, this is NOT secured):
Last Year in UOA:                Last Year Calling Football:
Last Association Called Ball With: 
Years Calling with UOA:                         Total Years Calling Football:

Anything Else You Believe We Need to Know:

How Do You Prefer to Handle Your Dues:

                                                                                                                                 

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