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<title>DTA Membership Application</title>
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<body background="../_themes/inmotion/inmtextb.gif" bgcolor="#FFFFFF" text="#663300" link="#990066" vlink="#CC6633" alink="#FFCC00"><!--mstheme--><font face="Arial, Helvetica"><p align="center"><b><font size="5">DTA MEMBERSHIP APPLICATION</font></b></p>
<p align="center"><img border="0" src="../index/logo.gif" width="141" height="177"></p>
<p align="center"><font size="4"><b><a href="http://www.active.com/donations/donate_step1.cfm?df_id=94">Join
Online via Credit Card</a></b></font></p>
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<input type="hidden" name="recipient" value="webmaster@dta.org,office@dta.org,execd@dta.org,president@dta.org,editor@dta.org"><input type="hidden" name="subject" value="DTA Membership Application"><input type="hidden" name="thankurl" value="no">Name
<input type="text" name="Name" size="36">
<p>Address <input type="text" name="Address" size="36"></p>
<p>City <input type="text" name="City" size="16">
State <input type="text" name="State" size="12"> Zip
<input type="text" name="Zip" size="10"> </p>
<p>Home Phone <input type="text" name="home_phone" size="16"></p>
<p>Work Phone <input type="text" name="work_phone" size="20"></p>
<p>Email
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<input type="text" name="username" size="20"></p>
<p>Date of Birth <input type="text" name="date_of_birth" size="16">
NTRP Rating <input type="text" name="ntrp" size="16"></p>
<p>Male <input type="radio" value="Male" name="gender"> Female <!--webbot
bot="Validation" S-Display-Name="Gender" B-Value-Required="TRUE" --> <input type="radio" name="gender" value="Female"></p>
<p>Membership Desired <select name="member_desired" size="1">
<option value="Junior $10">Junior $10</option>
<option value="Single $15">Single $15</option>
<option value="Family $25">Family $25</option>
<option value="Sponsor $35">Sponsor $35</option>
<option value="Silver $100">Silver $100</option>
<option value="Gold $250">Gold $250</option>
<option value="Platinum $500">Platinum $500</option>
<option selected value=".">.</option>
</select></p>
<div align="left"><p>Participating Family Members:</p>
</div><div align="left"><p>Name <input type="text" name="Name2" size="36"></p>
</div><div align="left"><p>Name <input type="text" name="Name3" size="36"></p>
</div><div align="left"><p>Name <input type="text" name="Name4" size="36"></p>
</div><div align="left"><p>Volunteer for:</p>
</div><div align="left"><p>
<input type="checkbox" name="volunteer_tournaments" value="ON">Tournaments<br>
<input type="checkbox" name="office_help" value="ON">Office Help<br>
<input type="checkbox" name="volunteer_social" value="ON">Social
Activities<br>
</p>
</div><div align="left"><p><input type="submit" value="Submit" name="Submit"><input type="reset" value="Reset" name="Reset"></p>
</div><p> </p>
</form>
<p align="left">
<br>
Contributions are Tax Deductible. Make checks payable to:<br>
<strong>Dallas Tennis Association</strong><br>
<br>
To become a member, you must mail in this form with the appropriate check<br>
made payable to the Dallas Tennis Association to the following address<br>
(unless using the credit card option):<br>
<br>
DTA<br>
P.O. Box 550895<br>
Dallas, TX 75355-0895<br>
<br>
Questions: call (214) 342-9597<br>
or email: <a href="mailto:execd@dta.org">execd@dta.org</a>
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