100 Half Marathons Club Membership Sign-up Form
Note: if you are purchasing a gift membership, please fill out the first line.  If this membership is for yourself, proceed with the second question and enter your personal contact information.  
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Is this a gift membership? Skip if No.
If yes- enter the name and the email address of the person that should be e-billed for the membership.
Name: *
Confirm Sign-Up Option: *
You will be e-billed for the amount listed below.
Required
E-mail address: *
Please verify your e-mail address before sumbitting- this is how we will get in touch with you.
Where are you from? *
City, State (for USA) or City, Province, Country
List of qualifying races, with year, race name, and bib number: *
You can also email this list to us at 100halfmarathonsclub@gmail.com, or send us a link to an athlete profile page (such as Atlinks or a Half Fanatics member page) that would also have this information.
How many lifetime half marathons have you completed so far? *
Login Information- Select your username *
Please select the username you'd like to use on our secure website.
Membership Referral Information
If another 100HM club member referred you, please list that person's name:
Optional Feedback: What draws you to join a racing club? What perks do you like the most? What membership benefits would you like to see?
This is optional. We'd love to hear your opinions.  We can't make promises but if we receive ideas we hadn't thought of, we will see what we can do to implement them.
How did you hear about us? *
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