USSTTA MEMBER APPLICATION:
COMPLETE THE INFORMATION BELOW AND SUBMIT
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Have you played Sandpaper Table Tennis before?
Please Select
YES
NO
Submit
Should be Empty: