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MID-ATLANTIC BICYCLE RACING ASSOCIATION

2018 MEMBER CLUB REGISTRATION FORM


CLUB INFORMATION

Club Name: Charm City Cycling


Alternate Club or Team Names that may appear on USA Cycling or BikeReg:
C3-Twenty20 Cycling Co

Approximate # of Club members: 60 Approximate # of USAC Licensed Club Members: 45

City of Registration: Baltimore State of Registration: MD ZIP Code: 21211

CLUB PRESIDENT, CEO OR COORDINATOR

Name: Jay Lazar

E-mail: Loparjay@gmail.com Phone: 410-375-0899

CLUB CONTACT INFORMATION

Name of the person who is your club’s MABRA Contact: Jay Lazar

E-mail: Loparjay@gmail.com Phone: 410-375-0899

BICYCLE EVENTS/RACES CLUB PROMOTED OR CO-PROMOTED IN 2016 AND 2017:

2016 2017

Charm City CX Charm City CX

BICYCLE EVENTS/RACES CLUB PLANS ON PROMOTING OR CO-PROMOTING IN 2018:

Charm City CX

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