OTC Logo

OREGON TRACK CLUB
2019 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.

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
Business Member - Please see separate form (www.oregontrackclub.org)
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)

*Home 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 Number __________________
                                   Total Amount ________ Method of Payment ___________________
Notes:
*FEES
Non Refundable
* Required
         New           Renewal


Individual ($30) *
Family/Couple ($40) *
Junior ($20) *
*Field will auto-populate after Category, Type, and Year are marked.

Sub Total
= Membership fees times the number of years

* Required
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 Amount
= $

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