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Challenging endurance cyclists to excel!
UMCA Membership Form
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 **
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** OTHER **
other:
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** OTHER **
USA
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SLOVAKIA
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** 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
Checkout
Click checkout to review charges, select payment type (mail-in check or credit-card via Paypal) and register.
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