
Membership Renewal
To renew online click here.
50 States Marathon Club
PO Box 15638
Houston, TX 77220-5638
Name ________________________________________ Date of
birth ___________________
Address
_____________________________________________
Sex (M/F) ________
City __________________________________ State_________ Zip Code _______________
Primary phone _________________________ Other phone ___________________________
Email address _______________________________________________________________
Occupation (or
retired from) _____________________________________________________
Okay to list email on web site? Y/N ____ Okay to list state on web site? Y/N ____
Newsletter delivery (circle one) Email Mail Both (Non US residents and Lifetime Members will be emailed .)
You may pay your
dues in advance for the next few years if you would like.
_____ Annual dues
(1 yr = $10, 2 yr = $20, 3 yr = $30, etc.)
_____ Lifetime Membership $100
**Lifetime membership includes yearly newsletters emailed, member benefits, and member must purchase finisher trophy
Do not choose this option if you are close to finishing the states.
_____ Donation
_____ Total (due
by
5/1/25
)
Make check payable to: 50 States Marathon Club
Marathons completed
______
Continents
completed
_______
Ultras completed
______
Canadian
provinces completed _______
Total marathons/ultras ______
Non USA
countries completed _______
States completed
______ for the 1st, 2nd,3rd,4th,
time (circle)
-------------------------------------------------------Finishers-------------------------------------------------------------------
Complete this section if you have completed the states, the continents, Canada and/or
Australia Date and location of
completion of ALL 50 US states
1st time _____________________________ 2nd time
________________________________
3rd time _____________________________ 4th time
_________________________________
Additional
times _______________________________________________________________
Date and location of
completion of ALL 7 continents
1st
time ______________________________________________________________________
Additional times _______________________________________________________________
Date and location of completion of ALL 13 Canadian
provinces & territories
1st time ______________________________________________________________________
Additional times ________________________________________________________________
Date and location of
completion of ALL 8 Australian states & territories
1st
time ______________________________________________________________________
Additional times _______________________________________________________________
PLEASE! Fill this out! We use this info to choose people to profile
Personal Profile for _________________________ (name) _____________________ (date)
Years marathoning ____________ Age at your first marathon __________
Tell us a story about your marathoning adventures. ___________________________________________
_________________________________________________________________________
Do you have any lucky or favorite running gear? What is it and why do you "need" it? __________________________________________________________________________________
___________________________________________________________________________________
Which state did you pick for your 50th state and why did you pick it? ______________________________
___________________________________________________________________________________
What's the worst weather you've ever run a marathon in and which race was it? ________________________
____________________________________________________________________________________
How do you relax after a marathon?
________________________________________________________
If you could write a book about yourself, what would you call it? _____________________________________
Which state/location have you run the most marathons in? Why? ___________________________________
____________________________________________________________________________________
What other runners (famous or otherwise) do you look up to? _____________________________________
Why? ______________________________________________________________________________
What is the best pre-race meal and at which marathon did you have it? _________________________
____________________________________________________________________________________
At what age do you think you sill stop running? _____ At what age do you think you will stop marathons? _____
What will help you make that decision.? ______________________________________________________
What's the craziest thing you've ever done on a run? ____________________________________________
____________________________________________________________________________________
What other people would you like to make into marathoners and why? _______________________________
_____________________________________________________________________________________
Personal Bests (PB or PR):
Marathon
__________________________________ finish time_______________ date______________
Ultra
______________________________________finish time________________date______________
Personal Worsts (PW):
Marathon
__________________________________ finish time_______________ date______________
Ultra ______________________________________finish time________________date______________
Please return renewal form and profile to: 50 States Marathon Club, PO
Box 15638, Houston, TX 77220-5638
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