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USATF-NE Membership Application

Membership for 2009 runs from November 1, 2008 to December 31, 2009

To join USA Track & Field - New England, fill in the application below, print it, and send with a check to USATF-NE, P.O. Box 1905, Brookline, MA 02446. Your number is assigned right away, but all membership cards are mailed from the National office. If you indicate an email address, the information will be forwarded to you immediately; otherwise, allow 3-4 weeks to receive the card. (Email or call us if you need the number right away.)

The membership fee remains the same as 2008. There is an adult discount when signing up _online_ for multiple years (see www.usatf.org)

Membership Fees for 2009 are:
$30 for Athletes 19 & older, Coaches, Officials, Supporters
$20 for Athletes 18 & younger
First Name: Date of Application:
Last Name:
Address:
Town/City: State:
Zip:
Telephone:
E-mail:
Date of Birth:
Sex: FemaleMale U.S. Citizen: Yes No
Type: Athlete Coach Official Supporter
Events:
Track & Field Long Distance Running
Racewalking
 Cross Country
Mountain/Ultra/Trail
Club Name: Club Number:
Please direct my additional contribution to
$ Track & Field $ Race Walking $ Junior Olympics
$ Cross Country $ Road Racing $ General Fund

I certify that in accordance with the rules of the IAAF & USATF, I'm eligible to compete in the indicated sport.

Signature: ______________________________     Date: _____________

USA Track & Field New England Thanks to Dave Smith of MVS for this form.

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