MEMBERSHIP APPLICATION (please print)

As a U.S. citizen or U.S. resident, I hereby apply for USOF membership.  I understand that I am entitled to a one-year subscription to Orienteering North America, voting rights, and membership in the International Orienteering Federation (IOF).

Date_____/_____/_____        Year born______________        M____   F____

Name______________________________________________

Address_____________________________________________

___________________________________________________

Home phone  (________)___________-__________________

E-mail_____________________________________________

School (if student or junior)_____________________________

If family membership, list other persons:

Name______________________ Year born_______   Name______________________ Year born_______

Name______________________ Year born_______   Name______________________ Year born_______

[___]  new member  [___] renewal
member of a chartered club?  enter club name:_________

[___] family $35
[___] individual $30
[___] student (age 21 & under: including vote & magazine - $15)
[___] junior (age 18 & under: no vote, no magazine - $5)
[___] life ($600 indv, $700 family including children under 18)
for overseas addresses (except APO & FPO), add postage
[___] $5 / yr surface mail [___] $25 / yr airmail

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updated 1400 1/30/2007