Club Membership Application Information Name: Address: City: State: Zip: Age: E-mail:	Are You a Member of the USCF or NORBA? USCF Number: Category: NORBA Number: Category:
What Type of Biking Interests You? Mountain Biking Touring Road Racing Track Multi-sport Trials How many miles do you ride a week? How many miles per year? Time(s) you normally go on training rides:	How did you hear about the SVVC? Level of Membership Individual: $25.00 Junior: $10.00 Family: $35.00 High School: $10.00 College Student: $15.00

Make checks payable to the "Susquehanna Valley Velo Club"
Mail to: Susquehanna Valley Velo Club, P.O. Box 51, Williamsport, PA 17703