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MSU Hockey
MSU Blue Line Club - Membership Application
STEP 1
Fill out all required information, then click the button at the bottom of the form
PERSONAL INFORMATION
* indicates required field
First Name
*
Last Name
*
Address
*
City
*
State/Province
*
Postal Code
*
Phone
Email - We need it to keep you informed
*
Must be a valid email address
MEMBERSHIP
Individual
Family
(Parents and
children under 18)
Student
$25
$30
$6
Enter first names (plus last if different) of your spouse and/or children
(put a comma between each name)
Type
*
Renewal
New member
Must be a valid number
EXTRA
PINS AND DECALS
Previous years are available for $3 each.
Your membership includes the 2011-2012 membership pin and decal, or two of each for a
Family Membershp.
Additional pins and decals for this year or previous years may be ordered here.
Type
Season and Quantity
Pin
Decal
Pin
Decal
Pin
Decal
Pin
Decal
Pin
Decal
TOTAL PAYABLE
$
