FOR ADDITIONAL FAMILY MEMBERSHIPS PLEASE GIVE:
NAME______________________________________ DOB _______________ AGE _________
DATE OF APPLICATION
___________________________
___________________________
| PLEASE MAKE CHECK PAYABLE TO AND MAIL TO: |
GOLDEN TRIANGLE RUNNING &
CYCLING CLUB
P.O. Box 702
Columbus, MS 39703-0702
CYCLING CLUB
P.O. Box 702
Columbus, MS 39703-0702
www.runcyclegtr.org
| Golden Triangle Running and Cycling Club A Non-Profit Organization Membership Application 2010 |
Benefits of Membership:
~Monthly newsletter with race schedules and entry forms
~Monthly meetings - informative and interesting - held on the
first Tuesday of each month
~Club discount on running apparel
~Group runs and rides
~Monthly newsletter with race schedules and entry forms
~Monthly meetings - informative and interesting - held on the
first Tuesday of each month
~Club discount on running apparel
~Group runs and rides
_____ Individual Membership - $20 - January 1 to December 31
_____ Individual Membership - $10 - July 1 to December 31
_____ Family Membership - $25 - January 1 to December 31
_____ Family Membership - $12.50 - July 1 to December 31
_____ Individual Membership - $10 - July 1 to December 31
_____ Family Membership - $25 - January 1 to December 31
_____ Family Membership - $12.50 - July 1 to December 31
Name: _________________________________________________ Birthdate: ________________________
Address: ________________________________________________________________________________
City/State/Zip ____________________________________________________________________________
Age: ___________ Gender: ______________ Email: _____________________________________________
Home Phone: _____________________ Business Phone: _______________________
Address: ________________________________________________________________________________
City/State/Zip ____________________________________________________________________________
Age: ___________ Gender: ______________ Email: _____________________________________________
Home Phone: _____________________ Business Phone: _______________________
NAME______________________________________ DOB _______________ AGE _________
NAME______________________________________ DOB _______________ AGE _________
NAME______________________________________ DOB _______________ AGE _________