SoCal Ultrarunners Grand Prix Series Membership Application for 2008

Name:
Address:
City:
State:
Zipcode:
Phone:
Email:
Age on January 1st:
Date of Birth:
Gender:	Male
	Female
Membership:	New
	Renewing
Year Joined:
USATF Member? (Yes or No)
USATF Number for 2008
Races completed in 2008

Mail to:
include a $20 check payable to SoCal GPS
SoCal GPS
c/o Joe Magruder
14 Somerset
Dove Canyon, CA 92679

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