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Tidewater Striders Membership Update Form
All address changes need to submitted before noon on the 15th of the month. All address changes received after the 15th will not take affect for the Rundown mailing until the following month.
This form is intended for CURRENT MEMBERS to update change of address, e-mail, and phone number information. It is NOT to be used for new membership OR membership renewal. If you have a family membership, please fill out a seperate form for each family member or indicate in the COMMENT section that these changes are for the entire family.
* Required field. If you are changing any information other than your address please indicate your current street address (where your Rundown is mailed to) in the OLD ADDRESS field for verification purposes.
 
E-mail address *:
Last Name *:
First Name *:
Home Phone:
Work Phone:
Old Address *:
New Address:
Unit/Apt:
City:
State:
Zip *:
Comment:



The Tidewater Striders are clearly the best, most active running club in the country
Bob Wischnia, Deputy Editor, Runner's World magazine



Proud supporter of the

2004 Rock'N'Roll 1/2 Marathon




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757 627 RACE

P.O. Box 2121 Chesapeake,VA 23327-2121



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