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OREGON TRACK CLUB
2018 Business Membership Application



Note: If you join or renew your membership after October 1, 2018, your membership is valid through 12/31/2019. Visit www.oregontrackclub.org for membership details, including merchant discounts and current
information about the Club and its activities.
Gold Level Member
$500/annually
 • All Silver Business Member benefits
 • Free 1/4 page ad in an issue of the OTC Newsletter
 • Rotating Ad on OTC Website
 • Two listings on the OTC Website
Silver Level Member
$200/annually
 • All Bronze Business Member benefits
 • Free 1/8 page ad in an issue of the OTC Newsletter
 • Enhanced listing in the OTC Prefontaine Classic Program and OTC Monthly Newsletter
 • Two listings on the OTC Website
Bronze Level Member
$100/annually
 • Listing in the OTC Prefontaine Classic Program, OTC Monthly Newsletter, and Membership Directory
 • Listing on the OTC website with a link to your business
BUSINESS INFORMATION - REQUIRED ITEMS IN GREEN

*Name of Business:
                                 As you would like it to appear

*Contact: *Phone:

*Mailing Address:

*City: *State *Zip

*Email: *Website

Our Newsletters are available on our website on the 1st of each month. A printed copy is available upon request, please call (541) 343-7247.

Please continue to page 2 to designate the individual or family to receive your free membership benefit.

Questions? E-mail: info@OregonTrackClub.org

To MAIL this form, print and mail with payment to:
Oregon Track Club
P.O. Box 11364
Eugene, OR 97440

EMAIL LOGO TO: info@OregonTrackClub.org (JPEG, EPS preferred)

Office use only           Date _______________ Membership Number __________________
                                   Total Amount ________ Method of Payment ___________________
Notes:
*FEES
Non Refundable

* Required
         New           Renewal


* Membership fee times number of years:
1 Year    3 Years    5 Years


Sub Total
= $
General
Donation
= $
Pre's Trail
Donation
= $
(OTC is a 501(c)(3) non-profit)

Pre's Trail donation of $75.00 includes a Pre's Trail t-shirt.

* Total
= $

* Payment Method
Pay by Check
Pay by Credit Card (PayPal)



Page 2
otc logo
OREGON TRACK CLUB
2018 Business Membership Application


2018 BUSINESS MEMBER DESIGNEE for
                                                                                                    Name of Business

Note: If you join or renew your membership after October 1, 2018, your membership is valid thorugh 12/31/2019.
Visit www.oregontrackclub.org for membership details, including merchant discounts and current
information about the Club and its activities.
Membership
Categories

Check 1
Regular - Age 19 and over (Individual or Family)
Masters - Age 30 and over (Individual or Family) includes Masters activities and socials
Junior - An individual 18 years of age and under - includes free All Comers entry fees
Junior t-shirs will be available for junior members at All Comers meets for $5.00
Membership
Types

Check 1
Family/Couple - 1 or 2 Adults & their children 18 years of age and under - $40
Includes free All Comers entry fees and two youth t-shirts. Additional t-shirts may be purchased for $5.00
Individual - A membership for one person - $30
Junior - $20
PRIMARY MEMBER LISTING - REQUIRED ITEMS IN GREEN
Privacy Statement: Your date of birth is used to determine your membership category and is not shared or published. Your contact information is to keep you informed of Oregon Track Club activities.

*First Name *Last Name

*DOB (mm/dd/yyyy)

*Mailing Address

*City *State *Zip

*Contact Telephone *Email

COUPLE/FAMILY MEMBERSHIPS:

Spouse's/Partner's Name *DOB (mm/dd/yyyy)

Spouse's/Partner's Email

Child's Name *DOB (mm/dd/yyyy)

Child's Name *DOB (mm/dd/yyyy)

Add additional line for more children

OTC publishes an annual roster for its members. Please check any information you want omitted:
Address      Telephone      Email

Our Newsletters are available on our website on the 1st of each month. A printed copy is available upon request, please call (541) 343-7247.

Volunteer Opportunities:
Butte to Butte     Merchandise Sales     Membership Committee     All Comers' Meets     Hayward Classic
Media & Marketing Committee     Membership Registration     Officiating Youth/Various Activities    

Questions? E-mail: Info@OregonTrackClub.org

To MAIL this form instead of submitting online, print and mail with payment to:
Oregon Track Club P.O. Box 11364, Eugene, OR 97440

Office use only:    Date ______________ Membership # ______________ Total $ ______________ Method of Payment ______________
Notes: