Race Reimbursement 2010

Race reimbursement of up to $100 for Cycling, Tri and Nordic and $50 for Running events.
All races after the third sanctioned competitive event qualify for race reimbursement.

Please answer the following questions regarding the 2010 race season.

Name:

1 Did you maintain an annual membership with NITC ?

Yes No

2 Did you wear a NISPIN/MC2 race kit during all race events?
Yes No

3 List the annual racing license you maintained.

Issuing Authority:
License Number: Expiration:

4 List the locally organized NITC,NISPIN or MC2 events you volunteered for.

5 List all sanctioned races you competed in and results obtained

Date Name Of Event Sanctioned by Result Entry Fee

Total Entry Fee

Return completed form to: northiowaspin@yahoo.com