USA Membership/Renewal Form

Fill in the fields below and press the Submit Request button. You will then get a page that you can print out from your browser and mail to the USA with your check.

If you prefer you can get a to fill out by hand.

Individual (US, Canada, Mexico):$20 per year - includes subscription to quarterly newsletter, membership card, voting privileges, and National Unicycle Convention insurance.
Overseas:$25 per year - (US Funds only)
Family:$35 for members of the immediate family living at one address.
NameBirthdate
Address
Address 2
CityStateZip
CountryPhone
ClubSkill level

Family Membership: Add information for members of the immediate family residing at the same address


Name: Birthdate: Skill level:
Name: Birthdate: Skill level:
Name: Birthdate: Skill level:
Name: Birthdate: Skill level:


E-mail address
I learned about the USA through
My interests include


Order Form Last Modified: Jan 1, 2009
Copyright © 2009
Unicycling Society of America, Inc. All rights reserved.