PA Horseshoe Pitching
Association:
INDOOR STATE CHAMPIONSHIP
APRIL 25 – 26, 2015
Beaver Falls PA
Entry Deadline
Name_____________________________________
NHPA #_______________________
Address_____________________________________________________
City_______________________________ Zip
Code_________________
Phone_______________________
e-mail_________________________
MEN ELDER WOMEN JUNIOR
Please Circle One
$25.00
Fee Payable to WPHPA
Send Payment to:
Jean Olsen
5441 Rt 957
Phone- 814-757-8764
Make check payable to WPHPA