100 Marathon Club

3. Membership Form
Full Name:
Date of Birth:
Address:
Telephone Number:
E-mail:
First Claim Club:
100 Marathon Club
Membership Application Form - Full / Associate
I wish to join the 100 Marathon Club as a first claim member? Yes / No
I declare that I am an amateur as defined by UK Athletics rules and that I am eligible to join the 100 Marathon
Club. I enclose a cheque for £10 made payable to 100 Marathon Club.
New members should show proof they have run the required number of marathons by either providing a paper
list with this form, or sending an electronic list (preferred) to info@100marathonclub.org.uk
I am enclosing a list of all my marathons? Yes / No
I have sent a list via email? Yes / No
Fees are set at the AGM. For 2006 the joining fee for both Full and Associate** Members is £10.
For 2006 the renewal subscription fees are £10 Full & £8 Associate. In the year after joining renewal fees may
be reduced by a percentage based on the quarter of the year the member joined.
** Known as ‘Wannabe’, for those who have completed at least 50 marathons/ultras.
Signed: ......................................................................
Date: .........................................................................
Please send this completed form (& list if appropriate), enclosing your cheque to the Club Secretary:
Peter Graham, 2 Trinity Court, Trinity Road, London N2 8JH.
7