SoCal Ultrarunners Grand Prix Series Membership Application for 2010
Name:
Address:
City:
State:
Zipcode:
Phone:
Email:
Age on January 1st, 2010:
Date of Birth:
Gender:
Male
Female
Membership:
New
Renewing
First Year Joined:
USATF Member? (Yes or No)
USATF Number for 2010
Races completed in 2010
Be sure to include a $25 check and make payable to
SoCal GPS
Mail to:
SoCal GPS
c/o Joe Magruder
14 Somerset
Dove Canyon, CA 92679