U.S. ORIENTEERING FEDERATION

P.O. Box 1444

Forest Park, GA 30298

MEMBERSHIP APPLICATION

Please Print.

Date ____________________ Yr Born _____________

Name _______________________________________

Street _______________________________________

City/St/Zip ____________________________________

Home Phone (_________)-_________-_____________

Email ________________________________________

Occupation (optional ____________________________

If family membership, list other persons:

Name                                            M/F        Year Born

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

[  ] New Member     [  ] Renewal

Member of a USOF club? Club _____________

[  ] Individual $35

[  ] Family $40

[  ] Student $15 (21 & under)

[  ] Junior $5 (18 & under/no vote/no magazine)

Student/Junior - School ________________

[  ] Individual Life $700

[  ] Family Life $800 (includes children under 18)

Mailing surcharge for ONA (excluding APO/FPO)
[ ]   Canada: $10   [ ] Outside US/Canada: $25