Jupiter Senior Softball Association - (Jupiter, FL)

JSSA Advertising Patron Registration

PLEASE COMPLETE THE FORM BELOW TO BECOME A JSSA PATRON. YOUR GENEROUSOUS SUPPORT OF THE JSSA WILL BE RECOGNIZED ON THE "PATRON" PAGE OF OUR WEBSITE.

THE JUPITER SENIOR SOFTBALL ASSOCIATION, INC. IS A REGISTERED
501(c)(4) FLORIDA NOT FOR PROFIT CORPORATION

* Business or Individual Name:

* Contact person:

JSSA Referral Contact:

* Address (#, street, city and zip):

* Phone:

* Email Address:

Web Site Address:

Type of Business:

* Date:

A $2.00 processing fee will be added to all credit card payment transactions.

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