2008 ACA Membership Form
Instructions:	Register online by filling out the form and clicking the "Register Now" Button. Please fill in all fields and wait for a "thank you" confirmation screen! You will be billed later. OR Print it on your printer (click here for a printable version) and send it along with your payment by US mail to: Allegheny Cycling Association 102 West 9th Street Pittsburgh, PA 15215 ACA memberships are valid on a calendar year basis (January 1-December 31). All ACA memberships expire on December 31. Unless the team you race for is a registered USCF club (such as Freddie Fu Cycling, etc.), please make sure you add "Allegheny Cycling Association" as your affiliated club on your annual USCF license. Make sure you spell it out in full, and don't add your local team (such as Cycleworks, etc.) or you license may come back marked "Unattached". This is important to you and the ACA in receiving distributed USCF funds.
Wrench:
Name:
Address:
City:
State:
Zip Code:
Phone:
Racing Age: (As of 12/31/2008)
Email:
USCF License Number:
USCF Cat:	Pro Cat 1 Cat 2 Cat 3 Cat 4 Cat 5 None
Team:
Other Club Affiliation (Freddie Fu Cycling, etc.):
Medical Insurance:
Person to Call in Case of Emergency:
Phone:
Cell:
Membership:	Individual $20 per year Family $30 per year
Additional Family Members:
Comments: