Print out this form, fill it in, and mail it to us.  
     
    Name:
    Address:
    City:
    State/Province:
    Zip/Postal Code:
    Telephone:
    Country:
    Racing number (3 choices):
    How would you be interested in helping run events:

    Mail completed form a check for 40$ (payable to USCRA) to :

    Eve Stein
    5 Brook Bend Place
    Oakdale, CT 06370
    Phone: (860)-447-2001
    Fax: (860)-447-1201
    EMAIL: uscra_reg@yahoo.com

Last Updated: 1/28/2007