Team USA Gymnastics
Member Enrollment Application

Directions

Fill out the requested information below and click the button at the bottom to submit your application for Team USA Gymnastics Membership. You can also print out this form and mail it in with a check or money order, if you prefer. See instructions at the end for further details. $25 per year for USA members, $40 per year for Canada/Mexico, $55 per year for all other foreign countries.

This form is a secure form. Your transaction is totally safe. We respect your privacy. All of your information is kept in confidence.


If you are on AOL, Prodigy, or some other similar service, then please be sure to write out your full internet email address, not just your handle. E.g.:
gymcoach -- WRONG
gymcoach@aol.com --RIGHT

* indicates required fields.
First Name:*
Last/Family Name:*
Birth Date (month/day/year)*:
Sex:* Male Female
Phone:*
Your Email:*
Address:*
City:*
State/Province:*
Zip/Postal Code:*
Country:*
Club name (if applicable):
USAG club number (if applicable):
Please charge my:* Visa MasterCard Discover American Express
Credit card number (with no space, no dash):*
Card holder name:*
Expiration date:* Month Year

For more information, call USA Gymnastics Membership at 1-800-345-4719.

Other ways to send us your application: If you prefer to mail in your payment, simply print out this form and send it to: USA Gymnastics Member Services, 132 E. Washington St., Suite 700, Indianapolis, IN, 46204. Make checks or money orders payable to USA Gymnastics.



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