Membership Renewal

To renew online click here.

 50 States Marathon Club
PO Box 15638
Houston, TX  77220-5638

Name __________________________________  Date of birth ___________________

Address ________________________________________              Sex (M/F)  ________   

City _______________________________ State_________ Zip Code _____________

Home phone _______________________   Other  phone _______________________

Email address __________________________________________________________

Occupation (or retired from)  _______________________________________________

Okay to list email on web site? Y/N  ____       Okay to list state on web site? Y/N   ____

You may pay your dues in advance for the next few years if you would like.

_____  Annual dues    (1 yr = $10, 2 yr = $20, 3 yr = $30, etc.)                                    

_____  Donation                                              

_____  Total  (due by 3/1/12)
   
Make check payable to: 50 States Marathon Club

Marathons completed           ______                     Continents completed                 _______
Ultras completed                    ______                     Canadian provinces completed _______
Total marathons/ultras          ______                     Non USA countries completed  _______
States completed                  ______   for the 1^st, 2^nd,3^rd,4^th, time (circle)                                                                             


Finishers

Complete this section if you have completed the states, the continents, Canada and/or Australia

Date and location of completion of ALL 50 US states
1^st time __________________________ 2^nd time ______________________________
3^rd time __________________________ 4^th time ______________________________
Additional times ________________________________________________________

Date and location of completion of ALL 7 continents
1^st time _______________________________________________________________
Additional times ________________________________________________________

Date and location of completion of ALL 13 Canadian provinces & territories
1^st time _______________________________________________________________
Additional times ________________________________________________________

Date and location of completion of ALL 8 Australian states & territories
1^st time _______________________________________________________________
Additional times ________________________________________________________




Questions are changed each year and the answers are used in our newsletter

Personal Profile for ___________________________ (name) __________ (date)
Years marathoning   __________                                          Age at your first marathon   __________

What got you started with the 50 States Marathon Club?_______________________________________

What would you like to receive from your membership in the 50 States Marathon Club? _________________________________________________________________________________________________ 

Describe the perfect marathon course for you?  ______________________________________________ 

What are some of your marathoning goals you have accomplished?  _____________________________ 

What marathon goals would you like to accomplish that you haven’t yet accomplished?___________________________________________________________________________________________________

What is the most interesting place you’ve traveled to and why?  _____________________________________________________________________________________________________________________

What is on your “bucket list”? ____________________________________________________________
____________________________________________________________________________________

Tell us a running story (funny, sad, related to a race, etc.) __________________________________________________________________________________________________________________________
____________________________________________________________________________________ 

Who would you LIKE to run with and why? _____________________________________________________________________________________________________________________________________ 

Tell us some of your superstitions about your marathoning. ________________________________________________________________________________________________________________________ 

If you could take on one marathon volunteer job, what would it be? __________________________________________________________________________________________________________________ 

Tell us about any sports you participated in prior to marathoning. ________________________________
____________________________________________________________________________________

Personal Bests (PB or PR):
Marathon __________________________________ finish time_______________ date______________
Ultra ______________________________________finish time________________date______________

Personal Worsts (PW):
Marathon __________________________________ finish time_______________ date______________
Ultra ______________________________________finish time________________date______________

Please return renewal form and profile to:  50 States Marathon Club, PO Box 15638, Houston, TX 77220-5638