MEMBERSHIP APPLICATION
GOLDEN
TRIANGLE RUNNING
&
CYCLING CLUB
A NON-PROFIT ORGANIZATION
BENEFITS:
MONTHLY NEWSLETTER WITH RACE
SCHEDULES AND ENTRY FORMS
MONTHLY MEETINGS
-INFORMATIVE AND INTERESTING HELD ON THE FIRST TUESDAY OF EACH MONTH
CLUB DISCOUNTS ON RUNNING
APPAREL
___ Individual Membership -$15
-January 1 to December 31
___
Individual Membership -$7.50 -After July 1
___ Family Membership - $20 -January 1 to December 31
___ Family
Membership -$10 -After July 1
NAME .....................................................................
DATE OF BIRTH..............................
ADDRESS...............................................................................................
CITY/STATE/ZIP
...............................................................................
AGE(as of 1 Jan.).....................
SEX ........................ HOME
PHONE...................................
BUSINESS
PHONE............................
E-MAIL ......................................................
FOR ADDITIONAL FAMILY
MEMBERSHIPS PLEASE GIVE:
NAME.....................................................
DOB............................ AGE..........
NAME.....................................................
DOB............................ AGE..........
NAME.....................................................
DOB............................ AGE..........
NAME.....................................................
DOB............................ AGE..........
DATE OF APPLICATION
...........................................
PLEASE MAKE CHECK PAYABLE TO
AND MAIL TO:
GOLDEN TRIANGLE RUNNING
& CYCLING CLUB
P. 0.
www.runcyclegtr.org