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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   ____
Newsletter delivery (circle one) Email Mail Both (Non US residents will be emailed.)

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 5/1/17 )
   
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 1st, 2nd,3rd,4th, 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
1st time __________________________ 2nd time ______________________________
3rd time __________________________ 4th time ______________________________

Additional times ________________________________________________________

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

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

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


From your answers below, we use them in the newsletter. Be creative!

Personal Profile for ___________________________ (name) __________ (date)

Years marathoning   __________                                                 Age at your first marathon   __________

Why did you start running? ______________________________________________________________

____________________________________________________________________________________

What hobbies/interests do you have besides running?  ________________________________________

____________________________________________________________________________________

Tell us about the most exciting thing that happened to you while marathoning. _____________________

What has marathoning done for you? ______________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

What are you planning for the next year?  __________________________________________________

____________________________________________________________________________________

What part of the pack are you in (back, middle, elite). Why do you think so? _______________________

What are your favorite races and why? ____________________________________________________

____________________________________________________________________________________

How does your marathoning affect your work? ______________________________________________

____________________________________________________________________________________

What is your favorite question that people ask you about marathons? ____________________________

____________________________________________________________________________________

Add one interesting thing about yourself or your running._______________________________________

____________________________________________________________________________________

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