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Please complete the information on this form to enter your club in the Four Winds lottery program.

Club name: 

Contact person: 

E-mail address: 

Website address: 

When was the club established?

How many active members does the club currently have? 

Please provide approximate membership figures for the following time periods:

January 2002: 

January 2001: 

January 2000: 

Which Four Winds events are you interested in entering a team?

Urban Rage Denver

Urban Rage New York

Urban Rage Miami

USA Supreme

Mountain Rage Lake Mead

What are three key things your group does to provide value to your members?




Please provide any additional information about your club that would be of value during the selection process: