2018 ITC Membership Registration Form
First Name: *
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Last Name *
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Street Address *
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City *
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State abbreviation *
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Zip Code *
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Email Address *
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Phone Number (e.g. 607.555.5555) *
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Gender
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Birthdate (mm/ddy/yyyy) *
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USAT Membership # (If Applicable)
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Membership Status *
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Membership Type *
Select from the list below. *Family - information on each family member must be provided. If you select family membership, you will be taken to another page, after clicking continue below, where you can provide the required information.
Payment Options *
Check the appropriate choice below :
Are you interested in voluntering to help at the Cayuga Lake Triathlon? *
The club needs your help for the Cayuga Lake Triathlon! It is the major fund-raiser for the club.
Please indicate which pre-race areas you can help with.
Please disregard this section if you are unable to volunteer.
Please indiciate which areas you can help with during the race.
Please disregard this section if you are unable to volunteer.
Please indicate which post-race areas you can help with.
Please disregard this section if you are unable to volunteer.
Optional Gift to Assist the Cayuga Lake Triathlon
If you would like to contribute financially to assist with the Cayuga Lake Triathlon, please enter the amount you wish to donate below and add it to you membership fee (using which ever payment option you have chosen). Thank You!
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