www.lanierrunningclub.org LANIER RUNNING CLUB MEMBERSHIP/RENEWAL APPLICATION The membership year is from January 1, 2010 to December 31, 2010. Dues are prorated to 50% after July 1, 2010. If you join between November 1 and December 31 the membership will be valid for the following year as well. 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:________________ CHILDREN’S NAME AND DOB:___________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ADDRESS______________________________________________________________ CITY____________________________  STATE________________  ZIP___________ HOME PHONE___________________  WORK PHONE_____________________ CELL PHONE____________________  E-MAIL___________________________   Please fill out the Membership Application form and return it with the appropriate amount to:                         Lanier Running Club                         P. O. Box 13                         Gainesville, GA  30503 Please fill in all of the information on the form so that we can develop an up to date membership roster.