Longview Running Club Membership Form

Club dues are $10 for student & retirees, $15 for single membership, and $20.00 for family membership.

Dues are good for ONE YEAR from date paid.  For Example if you pay in MAY 2008 then your dues are good till MAY 2009. 

  You can also run with us without being a member for $5.00 each race!!!

Please print & fill out the following information and send the appropriate fee to

Longview Running Club

PO Box 150555

Longview, TX      75615

Name/Names__________________________________________________

______________________________________________________

_____________________________________________ 

Address________________________________________________

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Phone__________________________________________________

Email__________________________________________________

I want to recieve information via 

EMAIL   or    MAIL

please circle one so we know how to reach you!!!

Age ___________  Birthday________________________________

Goals__________________________________________________

______________________________________________________

________________________________________________

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PR  5K__________ 10K___________ 1/2 marathon____________marathon___________

We will be sending out various information via email or mail, so please include your email address and indicate how you would like to receive information!!!!!!!!!!!