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 blank form to fill out by hand.

Domestic:$15 per year - includes subscription to quarterly magazine, membership card, voting privileges, and National Unicycle Convention participation.
Domestic Family Membership:$20 per year - Same as above, but includes whole family
Mexico/Canada:$20 per year - (US Funds only) Air Mail delivery (family membership is an extra $5 per year)
Overseas:$25 per year - (US Funds only) Air Mail delivery (family membership is an extra $5 per year)
First class shipping:$10 additional per year (in the US)
NameBirthdate
Address
Address 2
CityStateZip
CountryPhone
ClubSkill level

Additional Family Members: (for members of the immediate family of the member - residing at the same address - same benefits as member listed above except no magazine)


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: April 14, 2008
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