Iroquois Hill Runners Membership Application
Name:
Address:
City:
State:
Zip Code:
Phone:
Birthdate:
Membership Dues are $15.00 per year

Membership entitles you to run in club races for $2.00.
You will also receive the monthly club newsletter.

MAIL APPLICATION AND DUES TO:

Iroquois Hill Runners
P.O. Box 14115
Louisville, Ky. 40214

Please list any other family members who run:

Name:
Birthdate:
Name:
Birthdate:
Name:
Birthdate:
Name:
Birthdate: