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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 5/1/18 )
   
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 _______________________________________________________________




PLEASE!
Fill this out! We use this info to choose people to profile

Personal Profile for ___________________________________ (name) _____________________ (date)

Years marathoning   ____________                                                 Age at your first marathon   __________

Describe your marathon experiences from last year. ____________________________________________
____________________________________________________________________________________

What are your short and long term marathon goals?  ____________________________________________
____________________________________________________________________________________

Describe any cross-training you do and how it improves your marathons. _____________________________
_____________________________________________________________________________________

What is your average weekly mileage ? ______________________________________________________

What is your usual monthly marathon count? ___________________________________________________

What is your favorite running shoe and why? ___________________________________________________
____________________________________________________________________________________

Do you follow a "canned" program? If so, which one? If not, what philosophy do you follow? _______________
_____________________________________________________________________________________

What is the best pre-race meal? ____________________________________________________________

What is the best post-race meal ? ___________________________________________________________

What do you do to get over a "bad" run ? _____________________________________________________
____________________________________________________________________________________

What advice would you give to a new member of the club? ________________________________________
____________________________________________________________________________________

What is your favorite marathon and 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