MEMBERSHIP APPLICATION
MAKE CHECKS PAYABLE TO: FLO
MAIL TO: FLO, c/o Mike Dempsey
655 Little Wekiva Rd
Altamonte Springs, FL 32714
PLEASE PRINT ALL INFORMATION LEGIBLY
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FLORIDA ORIENTEERING
MEMBERSHIP APPLICATION MAKE CHECKS PAYABLE TO: FLO
PLEASE PRINT ALL INFORMATION LEGIBLY |
NEW MEMBER [ ] RENEWAL [ ] DATE _________________
MEMBERSHIP DUES PER YEAR: INDIVIDUAL $10 [ ] COUPLE $15 [ ] FAMILY $20 [ ] GROUP $25 [ ]
LIFETIME: INDIVIDUAL $150 [ ] COUPLE $225 [ ] FAMILY $300 [ ]
NAME ______________________________________________________________________ YEAR OF BIRTH ________
STREET ______________________________________________________________________ APARTMENT # __________
CITY ________________________________ STATE ____________ ZIP ___________ COUNTY _______________
PHONE (_____)__________________________ USOF MEMBER? YES [ ] NO [ ] USOF MEMBER # _______________
OCCUPATION ___________________________ E-MAIL ADDRESS _____________________________________________
PLEASE SEND MY NEWSLETTER BY MAIL [ ] E-MAIL [ ] (Uses Adobe Acrobat Reader.)
Florida Orienteering is a non-profit organization affiliated with the United States Orienteering Federation (USOF) and created to serve the
interests of orienteers in Florida. FLO was established to promote the sport of Orienteering and to increase environmental awareness in
the state of Florida. These purposes are served through the sponsorship of orienteering events in the state and the production of
recreational orienteering maps. Your membership directly suports these activities.
As a member, you may enter FLO events at a reduced rate, and are entitled to membership in the USOF at a reduced rate. (See USOF
Membership Application for specific details.) You will receive our newsletter - THE FLORIDA ORIENTEER. We will encourage and
request your participation in event organization, map making, course setting, etc., as these activities are vital parts of orienteering that are
as much fun and challenging as competition.
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ADDITIONAL MEMBERSHIP INFORMATION
IF FAMILY (or COUPLE) MEMBERSHIP, PLEASE LIST OTHER MEMBERS BELOW:
NAME SEX YEAR BORN NAME SEX YEAR BORN
1. ______________________________ ___ _____ 4. ______________________________ ___ _____
2. ______________________________ ___ _____ 5. ______________________________ ___ _____
3. ______________________________ ___ _____ 6. ______________________________ ___ _____
WHERE DID YOU HEAR ABOUT FLORIDA ORIENTEERING? _____________________________________________
IF A FLO MEMBER INVITED YOU, PLEASE PROVIDE THEIR NAME _____________________________________________
PLEASE INDICATE AREAS IN WHICH YOU WOULD LIKE TO ASSIST AT FLO EVENTS:
Registration __ Start __ Finish __ Control Retrieval __ Event Location(s) _______________________
You may choose to make a contribution in addition to your FLO membership dues in order to promote special projects, operating costs, or
our mapping efforts in Florida. Your valued support is greatly appreciated!
DONATED AMOUNT ____________ THANK YOU!!!
The Florida Orienteerer newsletter is published four times per year (Febuary, May, August and November). Deadline for submission
of material is the 5th, with publication scheduled for 25th. EMail materials to News@FloridaOrienteering.org. The editors reserve
the right to edit any submitted materials, and publication is on a space available basis.
MembershipApplication.doc 05-27-2004