TEXAS SENIOR VOLLEYBALL ASSOCIATION
2008/2009 MEMBERSHIP APPLICATION
Membership fee is NO LONGER DESIRED
Name Spouse
Address
City, State, Zip Date of Birth
Telephone # Spouse Telephone #
(if different)
Email Address
Emergency Contact (if not Spouse) Name
Telephone #
____________________________
Please send to Patricia Clark, 9 Westelm Circle, San Antonio TX 78230
The above information will be used in our club directory unless you specify otherwise.
/ / Check here if you do not desire this information be published in the TSVA Directory
The above information is used to place your on TSVA Roster and the Directory if desired.