2019 Ride615 Cycling Club Membership Form
Please fill out the form and answer the questions below. After you've completed the form you may pay the membership fee through the PayPal link on the website.
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Address
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Required
Email for club correspondence
Your answer
Facebook name or email used with Facebook, if you have one.
This will allow us to add you to the Club/Team Group page. We use this page to post information about upcoming rides.
Your answer
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