Membership Printable Form

Updated: March 11, 2007

First Name:
Last Name:
Gender:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email Address:
Date of Birth:
Year First Joined Club:
Newsletter:	Email (PDF):       USMail (Printed):

Print this form, fill it in, and send it with a check for $25 (individual) or $40 (family) to the following address:

Stevens Creek Striders
P.O. Box 1176
Cupertino, CA 95015-1176

You may also hand your form and payment (in an envelope) to any Striders board member.