Team Bicycles, Inc.

Bicycle Racing Club

A United States Cycling Federation Affiliated Bicycle Racing Club

Club Membership Application:

Type: ____ New ____ Renewal ____ Transfer from other USCF Team

Name: __________________________________
Address: __________________________________
__________________________________

Birth date: __/__/____ USCF License Number ________________ (not required)

Contact Information:

Telephone (daytime) ___ - ___ - ____
Telephone (nights) ___ - ___ - ____
Email _______________________________

Interests (Circle as many as desired)

Level Awards Licenses

Road Racing ……………………………………………………………………………...
Track Racing ……………………………………………………………………………...
Off-Road ……………………………………………………………………………...
Masters ……………………………………………………………………………...
Officiating ……………………………………………………………………………...

Jersey Size ( S M L XL ) Shorts Size ( S M L )

Membership prices $85 per year (includes team jersey) * after September 1^st, counts for next year
Renewal after first year $35 Extra Jerseys are $65.00

Mail form and check to

TBi
Steve Covington
305 W. Charlottesville Ave.
Colleyville, TX 76034

More info at http://www.teambicyclesinc.org