Randonneurs  USA

Colorado Brevet Series 2003
Rocky Mountain Cycling Club
Randonneurs USA

Rocky Mountain Cycling Club

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Colorado Brevet Series 2003 -- Application Form
Rider Information:

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 4th No charge.*
   Flèche May 10th No charge.*  Team registration by April 15th.
   300km May 17th No charge.*
   400km May 31st No charge.*  Register by May 17th.
   600km June 14th No charge.*  Register by June 1st.
   1000km June 28th No charge.*  Register by June 15th.
   300km July 12th No charge.*  
   300km August 2nd No charge.*   Register by July 15th.
   200km Sept. 20th No charge.*

* RMCC Membership is required for all brevets, for insurance. 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.