Team Bicycles, Inc. Bicycle Racing Club A United States Cycling Federation Affiliated Bicycle Racing Club Club Memebership Application: Type: ____ New ____ Renewal ____ Transfer from other USCF Team Name: __________________________________ Address: __________________________________ __________________________________ Birthdate: __/__/____ USCF License Number________________(not required) Telephone (daytime) ___ - ___ - ____ Telephone (nights) ___ - ___ - ____ Email _______________________________ Interests (Circle as many as desired) Level Awards Licenses Road Racing ................................................................... Track Racing .................................................................. Off-Road ..................................................................... Officiating.................................................................... Jersey Size ( S M L XL ) Shorts Size ( S M L ) Membership prices $100 per year (includes team jersey) * after September 1st, counts for next year Renewal after first year $50 with no Jersey Extra Jerseys are $65.00 Mail form and check to TBi / co Steve Thompson 9 Meadow Ln Bedford, TX 76021 More info at http://www.teambicyclesinc.org