The Streak - Annapolis Striders

Annapolis Striders, Inc
Post Office Box 187
Annapolis, Maryland 21401-0187
ADDRESS SERVICE REQUESTED
RENEWAL REMINDER
Please note your membership expiration date as it appears above
your mailing address below. Current membership is required
in order to receive the next issue of the Streak.
Renew online at www.annapolisstriders.org
or complete the form below.
PLEASE PRINT LEGIBLY or your renewal will be returned.
Mail with check payable to: Annapolis Striders
8179 Forest Glen Dr.
Pasadena, MD 21122
Circle one: Renewal Information change
Type of Membership requested: circle one
Junior (under 18) - $6
Family (3 or more): 1 year - $30
2 years - $55
Individual: 1 year - $15
2 years - $28
5 years - $70
2nd member- same address - $10/year
5 years - $140 Amount enclosed: $_________________
Name: __________________________________________________________________________________________ Gender: M or F
Address: ________________________________________________________________________________________________________
City:________________________________ State: ____________________________ Zip: __________________________________
Phone: ____________________________ E-mail __________________________________________________________________
Birthdate: ______________________________________________
Additional Family Membership Information:
Name: __________________________________Name: __________________________________Name: __________________________
Birthdate: ______________________________Birthdate: ______________________________Birthdate: ______________________
Gender: M or F Gender: M or F Gender: M or F
Non-Profit
U.S. POSTAGE
PAID
PERMIT NO. 526
ANNAPOLIS, MD