Please check your membership status. If your name does not appear, your membership is current.
If your name does appear on the
"Expired and Expiring" list, please print this form to mail (right click and select "Print").
MEMBERSHIP APPLICATION
POSSUM TROT ORIENTEERING CLUB
Make checks payable and mail to:
Possum Trot Orienteering Club
c/o Casey Caughron
16020 South Smart Rd.
Pleasant Hill, MO 64080
New __________ Renewal __________ Amt. Enclosed: $12.00 (Individual), $15.00 (Family)
Name _________________________________________________ Year Born __________
Address __________________________________________________________________
___________________________________________________________________
Business Phone ____________________ Home Phone ____________________
E-Mail Address ____________________________________
Occupation ________________________________________________________________
Other Family Members and Birth Years:
_______________________________________________________________________________
_______________________________________________________________________________
Experience Level: (Circle One) Beginner
Intermediate
Advanced
Are you a member of USOF? ______
List any other orienteering club(s) to which you belong:
_______________________________________________________________________________
Where did you learn about Possum Trot Orienteering Club?
________________________________________________________________________________