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Road Muffins Application Form

Name___________________________________

Street___________________________________

City_____________________________________

State____________________________________

Zip Code_________________________________

Telephone________________________________

Email____________________________________


I understand, consent and agree that the activity of cycling is personal in nature and may result in injury.
I further understand, consent and agree that I will not hold the Roadmuffins Cycling Club, its officers,
directors, members or its sponsors liable for any direct, incidental, consequential, or any other injury or
damage resulting from my participation in any Club related activity.

Signed______________________________________  Date___________


                                       S      M     L      XL      XXL                 Price        Amount
Men's Jersey                                                                              $70.00   $_______
Men's Bib Shorts                                                                        $80.00   $_______
Woman's Jersey                                                                         $70.00   $_______
Woman's Shorts                                                                         $80.00   $_______
Membership Dues                                                                      $55.00   $_______
Total                                                                                                         $_______


Mail To:
Road Muffins Cycling
3747 Vista Campana South
Unit #7
Oceanside, CA 92057


Classified (bikes and accessories for sale.)
Training, Health, and Fitness

Support The DougReport; Ride a bike

Have something you would like posted? News tips? Events? Upcoming rides? In store specials? Send it to doug@roadmuffins.com. (Readers are encouraged to send links to current stories about cycling that appear in the media. If you come across a news item, send it in as it may benefit our cycling community.)

Support The DougReport; Ride a bike