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Secondary members

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Register additional family members. Note: You must also order a primary membersip. When filling out data please enter a blank space for fields that you are not entering into.
Price: $15.00
First Name
Middle Name or Initial
Last Name
Are you renewing an existing membership?
No
Yes (just fill in changes below)
Gender
Male
Female
Birth Date Month
/Day
/ Year
Email
Check if OK to publish
Contact phone
Check if OK to publish
Profession
Bicycle Type
Road
Touring
Mountain
Tandem
Recumbent
Hand
Other
Ability - Average comfortable MPH on the road
A - 20+
B - 16-19
C - 13-15
D - 10-12
E - Easy Going
Shirt Size
I am willing to volunteer for the following (Thanks)
Major Rides
Newsletter
Rest Stops
First Aid
Board Member
Ride Leader
Financial
Registration
SAG Driver
 
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