NCSRA MEMBERSHIP



You may print and mail this form for membership in the NCSRA.
 Form provided by Pro Squash, Inc. at http://www.squashpro.com
ANNUAL DUES:
Name_____________________________________________
Male_____ Female_____ Date Of Birth____ /____ /_________
Address______________________________________________________________
City,State,Zip_______________________________________________________
Home Phone____________ Office Phone_____________  E-MAIL_____________
Club Affiliation_____________________________________________________
Circle One: 
Renewal-New Member-Junior Under 19 yrs-Senior Over 65
A-5.5; BB-5.0; B-4.5; CC-4.0; C-3.5; DD-3.0; D-2.5; E (novice)-2.0; 
Skill Level Ranking ________
Membership Levels:  Regular Annual Membership  ( $55.00 ) 
Automatic membership in the United States Squash Racquets Association, 
subscription to Squash Magazine and NCSRA Bulletin, tournament updates, 
$7.00 discount off sanctioned tournaments, participation in winter and
summer leagues. 
Silver Racquet Membership  ( $75.00 )   
Gold Racquet Membership  ( $150.00 )   
Platinum Racquet Membership ( $500.00 )   
Junior Membership ( $40.00 ) 
All the benefits of Regular Membership at the reduced Junior Rate, 
must be under the age of 19.
TAX NOTE: A portion of your membership fees support the not for profit
activities of the NCSRA and may be tax deductible. Consult your tax 
advisor. 
The deductible proportions of the fees are as follows: 
Regular membership $20.00, Silver $30.00, Gold $130.00 
and Platinum $480.00
PLEASE RETURN THIS APPLICATION FORM WITH A CHECK OR MONEY ORDER TO:
National Capitol Squash Racquets Association
P. O. Box 15017
Washington, DC  20003-0017