Use this form to request entry to a CX World Cup.
Name

Question Title

1. Name

Contact Information

Question Title

2. Contact Information

Racing Information

Question Title

3. Racing Information

Current UCI Ranking (Must be inside the top 50 UCI Ranking)

Question Title

4. Current UCI Ranking (Must be inside the top 50 UCI Ranking)

Enter any additional comments here.

Question Title

7. Enter any additional comments here.

If you have any questions contact Marc Gullickson at mgullickson@usacycling.org.

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