E L K    C O U N T Y    S T R I D E R S

   Membership Application

Name______________________________________________________

Address____________________________________________________

City________________________________  State________  Zip______

Telephone__________________________________________________

TYPE OF ANNUAL*  MEMBERSHIP & DUES:

Individual,  $12.00________

Student,      $ 6.00________

Family,       $18.00________

              List family members__________________________________

                                                __________________________________

 Membership year is             __________________________________

 July 1 - June 30.                   __________________________________

 Please send your application with check payable to:

                                                    Elk County Striders

                                                    417 Hyde Ave.

                                                    Ridgway,  Pa  15853

 

Membership is open to anyone interested in jogging or running.

                                   JOIN THE FUN!

Note: If you are joining the Striders for the first time, write the size needed for your free T-shirts in the space below. 

 They come in YM, M, L, XL.

             Free T-shirt_____________