Registration Test – United Sidecar Association

USCA Member?

Yes - $39

No - $49

NOTE: All prices will be $10 higher at the door

If "Yes", what is your membership number?

You can find this on your Sidecarist mailing label.

First Name *

Last Name

Address

City

State

Zip

Email

Age

Optional and used only for awards

Your Rally Fee

First Name

Last Name

Age

less than 12 years old - FREE

13 to 17 years old - $24

adult with a member - $39

adult with a non-member - $49

NOTE: All prices will be $10 higher at the door

Passenger Rally Fee

Lime colored t-shirts with rally logo must be prepaid

Small T-Shirts @ $12.00

Number

Med T-Shirts @ $12.00

Number

Large T-Shirts @ $12.00

Number

XL T-Shirts @ $13.00

Number

2XL T-Shirts @ $13.00

Number

3XL T-Shirts @ $14.00

Number

Total T-Shirt Purchase

Fee Total