_____Individual $15.00 _____New _____Male
_____Family $25.00 _____Renew _____Female
_____Student $10.00
Name___________________________________________
Address_________________________________________
City_____________________State______Zip___________
Phone___________________________________________
E-mail____________________________________________
Periodically we like to publish a list of Striders members and make
it available to only the other paying members of the Club. This helps us
find volunteers and could help you find other runners in your neighborhood.
May we publish your name, phone number, and address in a club roster?
( Circle One)
YES
NO
NAME ONLY
Make checks payable to (and mail application to):
STAR CITY STRIDERS, P.O. BOX 8331, ROANOKE, VA
24014
Please Send A Self Addressed Stamped Envelope With Your Application And
Your Membership Card Entitling You To Courtesy Discounts Will Be Sent To You.