Membership Application

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Name

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Address

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City

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State & Zip

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E-mail Address

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Telephone#

	NEW MEMBER
	RENEWAL
	(Player Code _ _ _ _ _)
	ADDRESS CHANGE

MEMBERSHIP FEES

	1-YEAR @ $20
	3-YEARS @ $50
	LIFETIME @ $200

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USTSA HEADQUARTERS
201 S. HENRY ST.
BAY CITY, MI 48706
Phone: 800.544.1346
Fax: 989.893.0103
Website: www.vifa.com
Email: info@vifa.com

Membership Benefits

• A USTSA Membership Card.

• Two directly mailed issues of Table Talk Magazine -the premier foosball magazine in the world.

• An accurate and updated listing of your Points in the Points Book and on the internet at www.vifa.com.

• The opportunity to play in Local, Regional and International USTSA Sanctioned Tournaments.

• The ability to be a part of the future of foosball in the United States and the world and the opportunity to meet lifelong friends who share your love for the sport of foosball.