If you go to the following link, you will find our membership sign-up on BIKEREG. Remember that NEBRA membership is for clubs and promotors. Individual racers participate through their clubs.
http://www.BikeReg.com/15386
January 31, 2012
January 30, 2012
NEBRA Membership Application
Copy and Paste the form below. The updated form is also available on the website at:
http://www.nebra.us/resource-catalog/nebra-materials/membership/nebra_membership_applicatio.pdf.
http://www.nebra.us/resource-catalog/nebra-materials/membership/nebra_membership_applicatio.pdf.
2012 NEBRA MEMBERSHIP APPLICATION
Annual Membership Fee: $25.00
Member Name: _______________________________________________________
Membership Type: __ USA Cycling Club __USA Cycling Event Organizer (check one)
USA Cycling Club ID # _________
Number of members: ______male _____female _____juniors
Please use a deliverable e-mail address preferred to receive NEBRA e-mail notices
Club/Member contact: info:
Name: ____________________________________________
E-mail:____________________________________________
Phone: ______________________ Fax: _________________
Organizer(s) contact info if different from club contact:
Name: ____________________________________________
E-mail:____________________________________________
Phone #:___________________________________________
Event: ______________________________________________
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Name: _____________________________________________
E-mail:_____________________________________________
Phone: ____________________________________________
Event: ______________________________________________
Please enclose application and membership fee payable to NEBRA and send to:
Diane Fortini
91 Hillcrest Rd.
Hanson, MA 02341
NOTE: CURRENT NEBRA MEMBERS MUST RENEW THEIR MEMBERSHIPS BY 2:00 P.M. February 4 , 2012 IN ORDER TO PARTICIPATE IN AND VOTE AT THE ANNUAL MEETING BUT THOSE NOT NEBRA MEMBERS DURING 2011 MUST HAVE BECOME NEBRA MEMBERS BY DECEMBER 24, 2011 IN ORDER TO VOTE AT THE ANNUAL MEETING.
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