2010 Wheelsport Cycling Team
Membership Application

Wheelsport Cycling Team is a member of the United States Cycling Federation and NORBA.
USCF Club Number 0226.

 
Name Age Sex Date
Address
City, State & Zip
Phone(H) Phone(W) E-mail
Volunteer Interests: (Your assistance is needed in one or more of the following areas)
Joe Matava Memorial Race _____ Club Organization _____ Crystal Mountain TT_____
Racing Experience:
USCF License #____________________ Road Category_____ Track Category_____
Past Accomplishments:
Riding Goals for 2010:
Preferred Weekend Ride Date:(Sat, Sun or Both) and Starting Time:____________
Starting Point:
South (Black Diamond/Kent) _____		 Eastside (Issaquah) _____
Jersey Size (they run a bit to the small size, hence the xxxl): S___ M___ L___ XL___ XXL___ XXXL___
Shorts Size:S___ M___ L___ XL___
2010 Annual Dues: $45 
Additional Family Members: $15.00
Make Checks Payable to: Wheelsport Cycling Team
Send Completed Form (Both front and back sides!) to the Membership Chairman:
Jeff Brain
19003 68th St E
Bonney Lake, WA 98391