MEMBERSHIP APPLICATION

 

Dues:

 

New:         $20.00 Single (Includes T-shirt)

             $35.00 Family (Includes 2 T-shirts)

 

Renew:       $10.00 Single (w/T-shirt add $10.00)

             $15.00 Family (add $10.00 per T-shirt)

Names:     ______________________     Age ______ Sex ___

                  

            ______________________     Age ______ Sex _____

 

            ______________________     Age ______ Sex _____

 

Address:    ______________________     New _____

                                                                

            ______________________     Renewal _____                     

 

 

Telephone:  ______________________     Shirt Size: S M L XL

 

  Expiration Date: ________

                 (Office Use Only)

 

_____Yes, I would like to volunteer to help with club activities. (Please list any special talents you may possess that would be useful to the club, i.e., writer, food rep., clothing rep., etc.)

 

Please make checks payable to:      South Park Runners Association, Inc.

 

and mail to:          Norm Conway, SPR Membership Chairman
                      126 Crestview Drive, Pleasant Hills, PA 15236