TRI NorthWest Membership Form

TRI NorthWest Membership Form
2009
Website: www.racecenter.com
Email: trinw@racecenter.com
Phone: (503) 644-6822
Fax: (503) 520-0242

Instructions

Signup Online at SignMeUp.com
OR
Type in your information in the blanks provided.
Print entry form & mail with check to the address below.
AA Sports, Ltd.
4836 SW Western Ave.
Beaverton, OR 97005
Make Checks Payable to: TRI NorthWest

**Membership Season*
Memberships are for 1yr & 2 yrs & expire in January

Membership Type (choose one)
One-Year Membership - $35.00 - Memberships expire in January
Two-Year Membership - $65.00 - Memberships expire in January

First Name / MI / Last Name

Street Address:

City:

State/Province:

Zip/Postal Code:

Birthdate (mm/dd/yy (not 2009)):

Age:

Gender: Male Female

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:

Official Use Only

Print Discount Form