After sending the following information, you will be contacted by e-mail or by phone to confirm your wish to become a member of our club. The dues for our club are $10. $6.00 covers the cost of USAT group insurance to help with medical cost in case of an injury and the other $4.00 is for club expenses. Mail your check or money order to:
You may also purchase a subscription to Runner Triathlete News which is the official magazine of the USAT South Midwest Division. If you wish to join and receive the magazine, you will need to send $20. Make your check out to East Texas Triathletes.
You might print this page before clicking the "send" button so as to have a copy of the mailing address.
You may pay for the dues and magazine using PayPal. To do so, use dukegill@ettriathletes.com as the E-mail address to pay. If you use PayPal, the membership fee is $10.60. The membership fee plus the magazine is $20.90.
Last Name: First Name:
Middle Name: Nick Name:
Address Line #1:
Address Line #2:
City: State: Zip:
Birthdate: Age:
E-mail Address:
USAT #: (Not needed now--but will be required later)
Is it OK to put your name as a club member on the website?
Yes No
Is it OK to put your e-mail address on the club website?
Home Phone Number:
Mobile Phone Number:
Work Phone Number (and extension #):
Best Method(s) to contact you?
E-mail Home Phone # Mobile Phone # Work Phone # U.S. Mail
List events in which you have participated (including awards)*:
*Does not apply to beginning triathletes
