Before filling out and returning this form please go to http://www.summitvelo.org and read our membership and dues policies under the Membership Tab.
By submitting this form and your dues payment you are agreeing to all the terms of those policies.
Renewing ________ New ___________
Signed ______________________________________________
Name___________________________________________
Phone __________________________________________
Address ________________________________________
City ________________________________________
State _______________________
Zip __________
Email ________________________________________
Jersey Size ____________________________________ ( M / F)
Bibs Size ______________________________________ ( M / F )
In case of Emergency _____________________________
Phone _____________________________
Please mail this form and the appropriate dues (checks payable to Summit Velo) to:
Summit Velo
P. O. Box 31514
Tucson, AZ 85751