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Louisiana-Mississippi Bicycle Racing Association
Louisiana-Mississippi Bicycle Racing Association  

LAMBRA MEMBERSHIP FORM


Club Name: ____________________ Team Name: _______________________

Contact Name: ____________________________________________________

Address: _________________________________________________________

City: ____________________________ State: ______ Zip: _______________

Phone: __________________________ Fax: ____________________________

Club Officers: _____________________________________________________

_______________________________________________________________

Include $100 membership fee. All memberships expire Dec. 31.

Payment and/or this application can be sent to the LAMBRA Treasurer:

Elizabeth Duet
1312 Papworth Ave
Metairie, LA 70005

Make checks payable to: LAMBRA