Randonneurs USA

Colorado Brevet Series 2004
Rocky Mountain Cycling Club
Randonneurs USA

Rocky Mountain Cycling Club
[ Schedule  ----  Results  ----  Application Form  ----  Rules & Tips  ]

Colorado Brevet Series 2004 -- Application Form

Name: ____________________________

Address: __________________________

     _______________________________

City: _____________________________

State/Prov.: _____ ZIP/Postal Code: _______    

Phone: (Day) __________________

Phone: (Eve) __________________

E-mail: ________________________

RUSA member #: _________    Applied for

Register for one or more Events:
   200km May 2nd Populaires
   Flèche May 8th Team registration by April 15th. †    120km Apr 4th
   300km May 15th    120km Apr 11th
   400km June 12th Register by May 15th.    120km Apr 24th
   1000km June 12th Register by June 1st.    108km Jul 18th
   600km June 26th Register by June 1st.    125km Sep 11th
   310km July 10th Register by June 15th.  Fee, Qual.* -- "Grand Loop"    108km Oct 2nd
   200km July 31st
   300km August 7th Register by July 15th. -- "Denver-Aspen"
   300km August 21st Register by August 13th. -- "Peak-to-Peak"
   1200km August 13th Register by Aug 13th.  Fee, Qual.*  --"Last Chance"
   200km Sept. 19th
 
* "Fee, Qual." - Event has a cost-recovery fee and riders must be qualified. Event director will contact you.
† Flèche team captain must submit a Flèche Application.
NOTE: RMCC Membership is required for all events except the Last Chance 1200km, for insurance reasons. If you aren’t currently an RMCC member, indicate which type of membership you desire (same price):    Individual    Family

 

RMCC Membership* $25 … $____

TOTAL Enclosed ………………. $____   Make check payable to: Rocky Mountain Cycling Club.

Important! - 400km, 600km, and 1000km are subject to cancellation. Pre-registration is required -- pre-registration allows us to gauge whether there are enough participants to hold the brevet, and to notify you in case of cancellation.

Instructions - Print this form, fill it in, and send it (with check for event fee or RMCC membership if needed) to: Rocky Mountain Cycling Club, Attention Brevet Series, P. O. Box 201, Wheat Ridge, CO 80034-0201.

Register by E-mail - If you are already an RMCC member and your events have no fees, you may register by sending an e-mail indicating which events (with DATES -- for example "300km brevet on July 12th") you are applying for, to John Lee Ellis, Colorado Regional Brevet Administrator.