STAR CITY STRIDERS
MEMBERSHIP APPLICATION  - Print, fill out, and mail to address below!
The Star City Striders Running Club is an organization of individuals with a wide range of interests, ages, occupations, fitness, and ability levels. The Club strives to promote running and jogging for fun, fitness, and various levels of competition. As a member you will receive:  MEMBERSHIP TYPE  STATUS             Gender of Member(s)

_____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.