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600,600,60,1,500,5000,25,0
90,150,1,50,12,30,50,0,70,12,0,50,0,1,1,5000
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Junior SC Velo Membership

$30.00
SKU : Junior-SC-Velo-Membership
* Name:

USA Cycling License No.:

Categories you will be participating in:

* Racing Age:

* Date of birth:

Team Captain:

* Your Email:

* Street Address:

* City:

* State:

* Zip:

Home Phone:

Cell Phone:

Occupation:

Junior SC Velo Membership

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