OREGON TRACK CLUB
MEMBERSHIP APPLICATION

Oregon Track Club
P.O. Box 11364
Eugene, OR 97440

Prefer to mail in your order form? Just fill out this form, print, and mail with a check to the address above.

Note: All Junior Memberships purchased at the summer All-Comer Meets are valid through May 31.
For any other membership category, if you join the club after September, your membership is valid through 12/31 the following year.

   

*First Name: *Last Name:

*Mailing Address:

*City: *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:

Additional Children at $5.00 each (includes a junior t-shirt at the All-Comers Meets):

Total additional children

Child's Name: Birthdate:

Child's Name: Birthdate:

Child's Name: Birthdate:

Child's Name: Birthdate:


  Quantity Price / Description
Regular
Individual ($25)
Couple/Family with up to two children 18 & under ($35)
  Open to persons age 19 and over and their families. Benefits include quarterly newsletter, discounts on OTC events and at area merchants, directory, annual (pizza) dinner and program.
Masters
Individual ($30)
Couple/Family with up to two children 18 & under ($45)
  Open to persons ages 30 or over and their families. Regular member benefits plus Masters monthly newsletter, presentations, and socials.
Juniors Individual ($20)
  Open to persons ages 18 and under. Benefits include free entry and a t-shirt at the Oregon Track Club All-Comers Meet.
Business ($100)
  Benefits include: free family membership (see masters or regular box above);
Business listing in the Prefontaine Classic Program, the OTC Newsletters, Membership Directory and on the OTC website with a link to your business.

Use Only For Business Memberships

Business Name:

Contact Name: Phone: ( ) - -

Street Address:

Mailing Address:

City: Zip:

Email: 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 $

 

VOLUNTEER OPPORTUNITIES

Butte to Butte
Pre's Trail Maintenance
All-Comers Meets
Track & Field Officiating
Road Races
Other:

*PAYMENT METHOD


 

TOTAL AMOUNT DUE: $

 

OTC MERCHANDISE

T-shirts, hats and pins are available.
See our website for complete details.
www.oregontrackclub.org

 

MERCHANT DISCOUNTS

See our website for area discounts available to members.
www.oregontrackclub.org

 

Questions? Email: Info@OregonTrackClub.org

Mailing Address:
Oregon Track Club
P.O. Box 11364
Eugene, OR 97440