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Saturday, July 22, 2017

Member Registration

Registration Info and Help

To help you get registered and ensure your registration is complete, please make sure you do the following:

  • All questions/fields that have a red asterisk are required to be completed.
  • Your email address will be your user name.
  • For Country, please backspace the last "s" and then select "United States" or delete the whole entry and start typing “United” and it will filter a dropdown list then choose appropriately. That will refresh the Region (State) where you can select North Carolina or whichever state applies to your address.
  • Your password must be at least 7 characters long.
  • The Password Answer is entering the password again to make you entered it the same as Password.
  • Your Date of Birth verifies you are over 17 and can agree to our membership waiver.
  • The emergency contact and medical information will go onto your membership card.
  • All the items plus what remains is all part of the membership database we maintain for the club.
  • If your registration is successful, you will get an email that is generated from the site letting you know that the admin must verify your account. Robert will also get an email and he will update your account to authorize it and add any specific permissions/roles i.e. C4 Member to your account.

If you have any issues, please MESSAGE Robert (not posting to the C4 FB Group) via Facebook.

Member Registration

*Note: Membership to this site is private. Once your account information has been submitted, the Site Administrator will be notified and your application will be subjected to a screening procedure. If your application is authorized, you will receive notification that you can access the site. All fields marked with a red asterisk are required. - (Note: - Registration may take several seconds. Once you click the Register button please wait until the system responds.)

Provide a Display Name
Enter a valid Email address
Enter your password
Enter an Answer to the Password Question.
Enter a prefix. E.g. Mr, Dr
Enter a first name.
Enter a middle name.
Enter a last name.
Using the calendar popup to the right, select your date of birth.
RadDatePicker
Open the calendar popup.
Enter a unit number for an apartment or condominium.
Enter the street part of the address. E.g. 123 Main Street
Enter the city part of the address.
Enter your country i.e. United States. If it is already filled in, delete or backspace the last few letters "United Sta " and select United States or United States (US) from the list that will display. As soon as you do that, the State/Region will populate a dropdown for you to select your state.
Enter the region (state, province or county) part of the address.
Enter the Postal/Zip Code part of the address.
Enter a telephone number.
Enter a cell/mobile phone number.
Enter the name of your emergency contact
Enter your emergency contact's phone number
Enter your emergency contact's relationship
Enter any allergies, otherwise leave it as None.
Enter any medical conditions otherwise leave as None.
Enter name of spouse or significant other or leave as N/A.
Enter USAC License # if you have a USA Cycling racing license.
Enter USAC Club Affiliation Name otherwise leave as N/A.
Enter your USA Cycling Team Name otherwise leave as N/A.
Enter the security code
Premier Platinum Club Sponsors
Hawley's Bicycle World of Fayetteville, NC 
Gold Club Sponsors
 Bob Miarer Auto Service of Fayetteville, NC Richard Barbaro and Associates Dental Blashfield Sign
 
Supporting Sponsors
Hilton Garden Inn, 4025 Sycamore Dairy Road, Phone (910)            860-3600  Primal Cycling Wear and Accessories

 

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