*First Name: *Last Name:

*Mailing Address:

*City: State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY *Zip:

*Day Phone: ( ) - - Evening Phone: ( ) - -

*Email: Birthdate:

ADDITIONAL APPLICANTS FOR COUPLE/FAMILY MEMBERSHIPS:

Spouse's/Partner's Name: Birthdate:

Child's Name: Birthdate:

Child's Name: Birthdate:

add more lines for children

	Quantity	Price / Description - For full list of benefits visit www.oregontrackclub.org
Regular	0 1 year 2 years 3 years 5 years 0 1 year 2 years 3 years 5 years	Individual ($30) Couple/Family ($40) - includes children 18 and younger (2 Junior T-shirts included)
		Open to persons age 19 and over and their families. Benefits include monthly newsletter, discounts on OTC events and at area merchants, directory, annual dinner and program.
Masters	0 1 year 2 years 3 years 5 years 0 1 year 2 years 3 years 5 years	Individual ($30) Couple/Family ($40) - includes children 18 and younger (2 Junior T-shirts included)
		Open to persons ages 30 or over and their families. Regular member benefits plus Masters monthly newsletter, presentations, and socials.
Student/ Junior	0 1 year 2 years 3 years 5 years	Individual ($20)
		Open to persons ages 18 and under or full time students enrolled in college or a university. Includes free entry to the All-Comers Meets. Individuals 18 and younger also receive a free t-shirt (while supplies last).
Basic Business	0 1 year 2 years 3 years 5 years	($100) - Benefits include: free family membership. Business listing in the Prefontaine Classic Program, the OTC Newsletters, Membership Directory and on the OTC website with a link to your business.
Supporter Business	0 1 year 2 years 3 years 5 years	($200) - Basic Benefits plus free 1/8 page ad in an issue of the newsletter, enhanced listing in the Pre Classic Program and Membership Directory. Two listings on the OTC website.
Champion Business	0 1 year 2 years 3 years 5 years	($500) - Basic benefits plus 2 free 1/4 page ads in the newsletter, enhanced listing in the Pre Classic Program and Membership Directory. Two listings on the OTC website.

Annual Roster: The Club publishes an annual roster for its members. If you do not wish any or all of the following information to be published, please check the information which you want omitted:

Name
Address
Day Phone
Evening Phone
Email

DONATIONS

I would like to make a donation in the amount of $
Friends of Pre's Trail donation of $75; free Pre's Trail shirt.
oregontrackclub.org

 

NEWSLETTERS

Receive Email/Online Newsletter - Go Green!
Receive Hard Copy Newsletter

 

VOLUNTEER OPPORTUNITIES

Butte to Butte
Pre's Trail Maintenance
All-Comers Meets
Track & Field Officiating
Monthly OTC Run/Walk Series
Membership Tables
Committees
Other: