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

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* 1. Rider Contact Information

First Name

Last Name

USAC Lic #

UCI 11 Digit Code

Birthday

Phone Number

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* 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

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* 3. Indicate where you would like your shirts mailed

First Name

Last Name

Address

Address 2

City

State

Zip Code

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* 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.

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* 5. Housing Information

Hotel Name

Hotel Address

Hotel Website

Hotel Phone

Hotel Email

Rider Cell Phone

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* 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.