MEMBERSHIP/RENEWAL APPLICATION
The membership year is from January 1, 2008 to December 31, 2008. Dues are prorated to 50% after July 1, 2008.
MEMBERSHIP TYPE: Individual ($20.00) Family ($30.00) Student ($10.00)
Please make checks payable to Lanier Running Club.
AMOUNT ENCLOSED:_______________________________
MEMBER NAME: ________________________________ DOB:________________
SPOUSE NAME:__________________________________ DOB:________________
CHILDRENS NAME AND DOB:___________________________________________
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ADDRESS______________________________________________________________
CITY____________________________ STATE________________ ZIP___________
HOME PHONE___________________ WORK PHONE_____________________
CELL PHONE____________________ E-MAIL___________________________
Please make the check to "Lanier Running Club" and mail with the completed form to:
Lanier Running Club
P. O. Box 13
Gainesville, GA 30503