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? Select One 2002 2001 2000 1999 1998
How many active members does the club currently have? Select One 500+ 499-400 399-300 299-200 199-100 100-50 49 or fewer
Please provide approximate membership figures for the following time periods:
January 2001: Select One 500+ 499-400 399-300 299-200 199-100 100-50 49 or fewer Club not yet formed
January 2000: Select One 500+ 499-400 399-300 299-200 199-100 100-50 49 or fewer Club not yet formed
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?
1.
2.
3.
Please provide any additional information about your club that would be of value during the selection process:
