Membership Application
COLLINSVILLE, OKLAHOMA
High School Baseball
Collinsville Cardinals Homerun Club
PO Box 854
Collinsville, OK 74021


Name: _________________________________________________________________

Spouse: ________________________________________________________________

Address: _______________________________________________________________

City: ______________________________ State: _________ Zip: __________________

Phone: _____________________________ Cell: _________________________

Email: ________________________________________________________________

Membership Level:

( __ ) $125 Grand Slam

( __ ) $100 Homerun

( __ ) $75 Triple

( __ ) $50 Double

( __ ) $25 Single


Amount Paid: ____________________________ Ck #: _________________

Received by: ___________________________________________________

CCHC:sec102607

www.cvilleok.com/Homerun