Membership Application

Option 1 $10 For ONLY USADTF membership
Option 2 $20 For BOTH USADSF and USADTF memberhsip
Option 3 $10 USADTF T-shirt
Option 4 $18 For USADTF membership PLUS T-Shirt (Save $2)
Option 5 $28 For USADSF and USADTF membership PLUS T-Shirt (Save $2)
Total $____ Enclosed
ADD $4 Priority Mail if ordering T-Shirt
ADD $____ If interested in Contribution
Final Total $____
If ordering T-shirt please check T-shirt size: ___ Large ___ XL

Name: ________________________________________________

Address: _______________________________________________

City/State/Zip:__________________________________________

Email Address: _________________________________________

 Please check all that apply:
__Athlete __Administrator __Coach __Official __Parent __Volunteer

Do you have any suggestions or improvements for our USADTF organization?
_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________

Checks and money orders payable to USADTF and mail to:
Wayne Langbein, USADTF Treasurer
1911 N. Hicks Rd #103
Palatine, IL 60074
Questions? Visit our webstite http://usadtf.tripod.com