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Softball Membership Form

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Club Dues

Membership Form

Please fill out the following form if you plan to be a member of the CERN Softball Club this year. This includes anyone playing for the Leptons and/or Quarks or supporting the club as a non-playing member. E-mail questions to Softball.Club@cern.ch.

Bold fields are required for security. Italic fields are optional for softball cards.

Club Database and Softball Card Information

Given Name:
(Susan)
Family Name:
(Rookie)
Team:
(choose one)
Membership Type:
(choose one)
Work Phone:
(+41.22.999.9999)		 Include on Softball Card?
Home Phone:
(+33.4.50.99.99.99)		 Include on Softball Card?
E-mail Address:
(Susan.Rookie@cern.ch)
E-mail Address (alt):
(srookie99@stupidmail.com)

Bucker Field Security Information

The following information is necessary for access to Bucker Field. It will be accessible only to the authorities maintaining security at the field.

Nationality:
(Lichtensteinian)		 Passport Number:
(P9999999)
Primary Transportation:
(choose one)		 Secondary Transportation:
(choose one)
Country of Primary License Plate:
(choose one)		 Country of Secondary License Plate:
(choose one)
Number of Primary License Plate:
(999XX9999)		 Number of Secondary License Plate:
(431K9999)

More Softball Card Information

Position(s):
(choose up to 3)
Throws:
(choose one)		 Bats:
(choose one)
Height:
(6'10")		 Weight:
(320 lbs)
Birth Date:
(4 July 1776)
Home Town:
(Vesancy FRANCE)
Home Page URL:
(http://stupidweb.com/JohnRookie.html)

Softball Card Comments

Write the comments you want written under your batting statistics here:

Thank you. Your card should be updated in 2-3 days. Otherwise, please contact us at Softball.Club@cern.ch.

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CERN Clubs Softball
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Last modified: Mon Jun 30 14:56:41 CEST 2003