United States All-Round Weightlifting Association

Membership Application

Print this page, fill in the information and return to address below.

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THE USAWA APPRECIATES YOUR MEMBERSHIP. PLEASE FILL OUT THE APPLICATION BELOW
AND RETURN IT TO BILL CLARK. DUAL MEMBERSHIP IN THE USAWA/IAWA IS MANDATORY.
THE $25 FEE (INCLUDE WITH MEMBERSHIP APPLICATION) MAKES YOU A MEMBER OF BOTH
GROUPS. THANKS FOR YOUR MEMBERSHIP.

                                            Office only _____________________
                                                        (Membership No.)

                        INDIVIDUAL MEMBERSHIP APPLICATION
                   International All-round Weightlifting Ass'n
                   United States All-round Weightlifting Ass'n


Name _______________________________________________________________________
     (Please Print)

Address ____________________________________________________________________

City _________________________________ State ________________ ZIp __________

Phone _______AC ______________________ Birth Date ______________ Year ______

I agree to abide by the rules of the International All-round Weightlifting
Ass'n and the United States All-round Ass'n and I understand that this
membership will be revoked if I violate those rules.

Return to:                             _____________________________________
                                        (Applicant's signature)
Bill Clark
3906 Grace Ellen Drive
Columbia, Mo. 65202-1796               If applicant is under age 18, 
                                       parent/guardian must sign below:

                    
                                       _____________________________________

Fees:  Total due = $25.00 U.S. Funds annually
Make checks payable to U.S. All-Round Weightlifting Ass'n, or USAWA.

Membership also requires signature of the 
Drug-testing Consent and Waiver Form


Please print out and include with your membership application.