Summit Velo Membership Application

Before filling out and returning this form please go to 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 ______________________________________________




Phone __________________________________________


Address ________________________________________


City         ________________________________________


State      _______________________


Zip          __________


Email ________________________________________


Jersey Size ____________________________________


Bibs Size ______________________________________

In case of Emergency _____________________________

Phone          _____________________________


Please mail this form and the appropriate dues (checks payable to Summit Velo) to:


Summit Velo

P. O. Box 64303

Tucson, AZ 85728