Member Information  (Fields marked * are required.)
Select type of order*	New membership Renew membership I'm already a member. I just want to participate in the Year-Rounder, Ultracycling Cup, and/or order clothing I just want to order clothing
	Membership is a gift from:
Last name*:		Gender*:	Male Female
First name* (middle optional):		Birthdate*:	mm   dd   yyyy
Address-1*:		E-mail*:
Address-2:		Phone:
City*:		State/Prov*:	** OTHER ** ** SELECT ** AB AK AL AL AP AR AZ BC CA CO CT DC FL GA GU HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT N.C. NC ND NE NH NJ NK NM NS NV NY NZ OH OK ON OR PA PR Puerto Rico QC RI SC SD TN TX TZ UT VA VT WA WI WY ** OTHER ** other:
Postal code*:		Country*:	** OTHER ** USA AUSTRALIA AUSTRIA BELGIUM BELGUIM Brazil CANADA CAYMAN ISLANDS CZECH REPUBLIC DENMARK FRANCE GERMANY GREAT BRITAIN HONG KONG SAR HUNGARY IRELAND ISRAEL ITALY JAPAN LIECHTENSTEIN LIECHTENSTEIN / SWITZERLAND LUXEMBOURG NETHERLANDS NEW ZEALAND NORWAY PORTUGAL SCOTLAND Scotland, United Kingdom SLOVAKIA SLOVENIA SPAIN SWEDEN SWITZERLAND United Arab Emirates USA ** OTHER ** other:
Yes No	May we publish your address, e-mail and telephone in the membership directory? The membership directory is ONLY published in the UltraCycling magazine.  The information is not published on line or given to other organizations.
Yes No	Racing in RAAM 2008? RAAM riders receive a copy of the crewing handbook:  Crewing with Fuzzy.

Membership
UltraCycling magazine is sent to US members at the special Not-For-Profit rate and is sent Airmail outside the US; hence, the higher membership fees.
For family membership, select type (below) and the number of members (including yourself): 2 3 4
Select type of membership*:					USA	Canada	All Others	Membership fee:$
2008 Annual:					$35	$45	$55
2008 Annual Family:					$50	$65	$80
Two Years 2008 & 2009:					$65	$85	$105
Two Years Family:					$95	$115	$135
Three Years:					$95	$125	$155
Three Years Family:					$140	$170	$200
2008 One-Weekend:		event*: ** SELECT ** ADK Fireweed 24H-RAAM Heart of the South Hoodoo Iowa 12/24 Radmarathon RAO Round Slovenia Saratoga Sebring Tejas			$10	$14	$14
2008 Crew (six month):					$20	$30	$40

Participation
Year-Rounder:	$10 to cover awards
Ultracycling Cup:	$10 to cover awards	Participation Fees: $

Family Member #1:
Family Member #2
Last name*:		Gender*:	Male Female
First name* (middle optional):		Birthdate*:	mm   dd   yyyy
		E-mail:
		Phone:
Year-Rounder:	$10 to cover awards
Ultracycling Cup:	$10 to cover awards		Participation Fees: $

Family Member #3
Last name*:		Gender*:	Male Female
First name* (middle optional):		Birthdate*:	mm   dd   yyyy
		E-mail:
		Phone:
Year-Rounder:	$10 to cover awards
Ultracycling Cup:	$10 to cover awards		Participation Fees: $

Family Member #4
Last name*:		Gender*:	Male Female
First name (middle optional)*:		Birthdate*:	mm   dd   yyyy
		Email:
		Phone:
Year-Rounder:	$10 to cover awards
Ultracycling Cup:	$10 to cover awards		Participation Fees: $

Jersey	USA $65 ea      Outside USA $70 ea
Jerseys and Windbreakers are in stock.
Man's (Chest):	S(35-37)	M(38-40)	L(40-42)	XL(42-44)	XXL(44-48)
qty:	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5
Woman's (Bust):	S(32-34)	M(34-36)	L(36-38)	XL(39-41)
qty:	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5			Jersey: $
Windbreaker	USA $70 ea      Outside USA $75 ea
Unisex (Chest):	S(35-37)	M(38-40)	L(40-42)	XL(42-44)
qty:	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5	0 1 2 3 4 5			Windbreaker: $

Tax-deductible Contribution
The UMCA is a not-for-profit educational organization.	$	Contribution: $
Total Fees		Total fees: $
Special Instructions
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