Ultracycling: Ultracycling Cup form

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Ultracycling Cup
sponsored by

Hammer Nutrition

Ultracycling Cup Registration Form The Ultracycling Cup is open to all UMCA members.

Submit by August 31. Cost of awards is $10 per entrant.

To encourage women, younger racers, and international riders, the UMCA is giving complimentary entries to cover this cost for:

If you are not eligible for a complimentary entry into the Ultracycling Cup:

If you are not already a UMCA member, join the UMCA and add $10 to your membership form.
If you're already a member, submit this form.
Print this form and send it with $10 to the UMCA (address below).

All fields must be completed except "Ultracycling Cup events already ridden".

Name

Address

City State

Postal Code

Country

Home Phone

E-mail account

Birthdate: mm dd yy (select) Male Female

Ultracycling Cup events already ridden this year

If the Ultracycling Cup participant is a minor, then print this form and the parent or guardian must sign the statement below the Submit Form button.

I agree that _________________________ (name) can participate in the Ultracycling Cup and I have read and signed his/her UMCA membership form.

(Signed) ______________________________ (Date) _______________

If you are already a UMCA member to register eithe

Print this form and send it with $10 to the UMCA:

John Ceceri
UMCA Managing Director
7 Pearl Street
Schuylerville, NY 12871, USA

If you are not a member, register for the Ultracycling Cup on your membership form.