
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
5/1/23
)
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 __________
What shoes are you currently using? What features do you look for? How often do you change your shoes?
____________________________________________________________________________________
If someone made a documentary about you, what would it be called?
____________________________________________________________________________________
What is your biggest challenge or frustration about marathons? ___________________________________________________________________________________ ___________________________________________________________________________________
Lately, what has been your biggest motivation to get you running?
____________________________________________________________________________________
____________________________________________________________________________________
I you could choose the flavor of the Gatorade at your next marathon, what would it be? What other snacks would
you request?
____________________________________________________________________________________
Which 50 states Marathon Club runners do you run with most frequently?
____________________________________________________________________________________
What do you do with your keys when you run a marathon?________________________________________
____________________________________________________________________________________
IWould you rather out and back course, loop course, or point to point course? _____________________ And why? _______________________________________________________________________________
____________________________________________________________________________________
Where was 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
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