2024 Americas Cup Club Master Form USA Only

2024 Americas Cup Club Master Form USA Only

Entry Deadline December 10, 2023
Club Name*
USA Club ID*
Contact / Coach Name*

First NameLast Name
Contact / Coach Email*
example@example.com
Total Skaters*
Total Events*
Total Amount Due USD*
$70.00 Per Event
Phone Number

Area CodePhone Number
Payment Method
Please send your payment to:

USA Roller Sports

4730 South Street
Lincoln, NE 68506

For Credit Card Payments please contact us at:

Phone: 402-483-7551
Should be Empty: