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Running Class and Membership Application
Name __________________________________ Male ____ Female _____ Age ___ Address ___________________________________________________________
City __________________________________ State __________ Zip ___________
Home Phone _____________________________ Cell ___________________________
E-mail _____________________________________________________________________
Volunteer Interests:
Signature _______________________________________ Date ___________
Annual Membership Dues:
Individual Membership - 1 year ..................... Included in $70.00 program fee
Please make check payable to: South Florida Striders, Inc.
Mail to: PO Box 822233, South Florida, FL 33082-2233
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