wpe1.jpg (10132 bytes)

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 4/1/15)
   
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 three adjectives would you use to describe yourself? _____________________________________

 ____________________________________________________________________________________

How long has it taken you (do you estimate it will take you) to finish the states?  ____________________

____________________________________________________________________________________

What other running clubs do you belong to, local and otherwise?   _______________________________

What other sports do participate in/have you participated in in your life? ___________________________

____________________________________________________________________________________

What is the craziest thing you’ve ever done on a run?   ________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

What was your favorite marathon location for sightseeing and why? ______________________________

What comments do your friends and relatives make about your marathoning? ______________________

____________________________________________________________________________________

What other runners, famous or otherwise, do you admire/look up to? _____________________________

____________________________________________________________________________________

How have your goals changed since you’ve been running/marathoning? __________________________

____________________________________________________________________________________

In what state/location have you run the most marathons?   Why? ________________________________

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