2017 UCI Urban Cycling - Rider Information Complete this survey so USA Cycling can register you for the UCI Urban Worlds and mail you your t-shirts Question Title * 1. Rider Contact Information First Name Last Name USAC Lic # UCI 11 Digit Code Birthday Phone Number Email Question Title * 2. Choose your t-shirt size. You will receive two shirts. Women's - XS Women's - S Women's - M Women's - L Men's - S Men's - M Men's - L Men's - XL Question Title * 3. Indicate where you would like your shirts mailed First Name Last Name Address Address 2 City State Zip Code Question Title * 4. What date do your shirts have to arrive at the address? Date / Time Date In order for USA Cycling to register you for the event with the UCI, we need the information for the hotel, condo, or private residence where you will stay during the event. USA Cycling will not be able to assist anti-doping in locating off-site riders and cannot be held responsible for any rider that cannot be located by the UCI for doping controls. Question Title * 5. Housing Information Hotel Name Hotel Address Hotel Website Hotel Phone Hotel Email Rider Cell Phone Question Title * 6. Enter any additional comments here. Thank you for confirming your information. If you have any questions, please contact Gregory Cross at 719-287-5887 or gcross@usacycling.org. Done