Return to Masters Swimming in North Carolina's home page.
Created: 8/31/98
http://www.NCmasters.org/transfer.html
Name: ______________________________________________________________
Address: ____________________________________________________________
City: ____________________________________ State: ______ Zip: ___________
Phone: ( ____ ) ____________ Birthdate: ___/____/____ Age: _______Sex: _____
Current Registration Number: ________________________
I hereby certify that it has been at least 60 days since I last completed for my former club
Signature: ________________________________________ Date: _____/ ______/ ______
Former Club Number: __________ Former Club Name: ______________________________
New Club Number: _____________ New Club Name: ________________________________
North Carolina Masters Swimming Chapter _________________________________________
e-mail address: _______________________________________________________________
This transfer is only for current USMS members who want to affiliate with the North Carolina Masters Swimming Club (Club Number 1) and any of its associated chapters, PEAK Masters (Club Number 2), or unattached within the LMSC of North Carolina, please make a check payable to LMSC for NC for $3.00 and mail to:
George S. Simon
Registrar, LMSC for NC
10229 Boxelder Dr
Raleigh, NC 27613-6139
Return to Masters Swimming in North Carolina's home page.
Created: 8/31/98
http://www.NCmasters.org/transfer.html