Pennridge-Quakertown Sports Hall of Fame Membership

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Please fill in the form below to renew/initiate your membership.  The extra forms (below) are to sign up a friend and/or spouse, co-worker, etc.

Dues:  $10.00, payable to           Pennridge-Quakertown Sports HOF

Mail completed form and check to:
P/Q Hall of Fame
c/o Susan Barnes
1183 Black Birch Lane
Quakertown, PA  18951

Renewals and new membership forms can also be secured from any officer or member of the Board of Directors. Click on Officers and Board Members for contact information.

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Pennridge-Quakertown Area Sports Hall of Fame

Name:____________________________________________________________________________
                Last                                                  First                                         Middle            
Address:__________________________________________________________________________
                No.              Street                                       Town                                       State                Zip

 

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Pennridge-Quakertown Area Sports Hall of Fame

Name:____________________________________________________________________________
                Last                                                  First                                         Middle            
Address:__________________________________________________________________________
                 No.             Street                                       Town                                       State                Zip

 

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Pennridge-Quakertown Area Sports Hall of Fame

Name:____________________________________________________________________________
                Last                                                  First                                         Middle            
Address:__________________________________________________________________________
                 No              Street                                       Town                                       State                Zip