TRI NorthWest Membership Form/ 2008
Website: www.racecenter.com
Email: trinw@racecenter.com
Phone: (503) 644-6822
Fax: (503) 520-0242

Official Use Only

Instructions
> Type in your information in the blanks provided.
> Print entry form & mail with check to the address below.
> Make Checks Payable to: TRI NorthWest

Mail to:
AA Sports, Ltd.
4840 SW Western Ave.
Suite 400
Beaverton, OR 97005

Membership Type (choose one)
- One-Year Membership - $35.00 Two-Year Membership - $65.00

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (not 2008)

Age

Gender
- Female Male

Phone

Email Address (non-business - to receive updates and press releases relating to Tri NW)

Provide Names of Running/Cycling/Tri Clubs that you are a member of:

Check#

Amount Enclosed