Capital City Cyclists Membership Application

These item(s) must be resubmitted for the following reasons:
Application Type is blank
Membership Type is blank
First Name is blank
Last Name is blank
Street is blank
City is blank
State is either blank or doesn't have 2 characters
Zip Code is either blank or doesn't have a minimum of 5 characters
Email address is for all club messages, which you will not be able to receive. Enter a valid email address or x@x to avoid this message.
Phone is either blank or is not formatted 'xxx-xxx-xxxx'
Road Level is blank
Off-Road level is blank
Newsletter is blank
Online Member Directory is blank
Payment Method is blank
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Thank you for joining the Capital City Cyclists. You have successfully added your information to our
membership information system. Your information will be stored in a temporary file until payment is received.
After that you will receive an introductory message giving you access to and explaining our information system.

Please click here to go to the CCC PayPal page and complete your registration process.