Cannonballs Cycling Team New Membership Application
City, State, Zip _____________________________________________________
Home phone _________________ Work phone _________________ Mobile phone _________________
Birthday ____/_____/___ E-mail ______________________________________
New Membership Due: $75
Make payment to the CANNONBALLS CYCLING TEAM
Includes a one-time new membership due of $60. Family Add-On memberships are available for $15.
Includes the annual membership due of $15 (per team member).
The annual membership is effective from January 1st to December 31st.
Please identify your interest of team activities (please select two):
ٱ "Ride For Pride" Event Planning
ٱ "Trips For Kids" Volunteer
ٱ Bicycle Advocacy
ٱ Committee (Apparel, Newsletter, Safety, Social)
ٱ Other _____________________________________
Send application and payment to:
Cannonballs Cycling Team
P.O. PO Box 481442
Charlotte, NC 28269