• Make sure to attach appropriate payment (US Dollars only).

• One Year Membership runs November 1 - October 31.

• Three Year Membership is good until October 31, 2005! BEST VALUE!!!

• On-line membership registration via credit card payment is available via active.com.

Name ____________________________________________ Age _____

2nd Name* _______________________________________  Age _____

Phone _______________________

Address ____________________________________________________

City __________________________________ State _____ Zip _______

Email _______________________________________________________

Local Club & Address: 
NordicSkiRacer.com, c/o Mike Muha, 1060 Yorick Path, Wixom, MI 48393

02/03 SEASON MEMBERSHIP FEES

$______  Individual / One Year ($35.00)
$______  *Two Members - Shared Household / One Year ($60.00)
$______  Individual / Three Year ($90.00)
$______  *Two Members - Shared Household / Three Year ($150.00)

$______ OPTIONAL CONTRIBUTION (Goes toward AXCS/Suburu Community Grants)

$______ TOTAL

Includes: Subscriptions to The Master Skier and AXCS News print publications; support for xcskiworld.com website (operated by AXCS); exclusive AXCS member discounts (including the Subaru VIP Purchase Program worth thousands of dollars!); license/discounts at the 2003 National Masters in Anchorage, Alaska ($20 value); license for 2003 Masters World Cup in Seefeld, Austria ($70 value); U.S. representation to the World Masters Association and exclusive international Masters racing information; and much, much more!

Donations go towards AXCS educational programs and general cross country ski development in the U.S. As a 501(c)(3) non-profit, all donations beyond annual dues are tax deductible.