
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 4/1/13)
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 ________________________________________________________
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 is something people might find unusual/odd that you do before a race?
______________________
____________________________________________________________________________________
Describe the
worst/unusual thing you have eaten before a race and what it did for your race. _____________________________________________________________________________________________
Whats the
closest you have ever come to missing a marathon?
________________________________
When running
with a stranger, what do you chat about, besides running?
_________________________
____________________________________________________________________________________
Who/what
inspired you the most to do marathons?____________________________________________
What is the
minimum you have trained for a race, and how did you do? __________________________
____________________________________________________________________________________
What is the
maximum you have trained for a race, and how did you do? __________________________
__________________________________________________________________________________
Which members
of your family have run marathons? _________________________________________
____________________________________________________________________________________
Whats the most annoying thing someone has done to you in a race?
____________________________
____________________________________________________________________________________
What is the most money you have found during a run?
________________________________________
____________________________________________________________________________________
What kind of
injuries have you had that you still completed a marathon? __________________________
____________________________________________________________________________________
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 |