The family membership is one price for you and all of your family members. Filling out the form below indicates you as the owner of the family membership. After this, you can add each of your family members.

Price:

$20 for 1 Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Primary Family Member: Primary Family Member is not valid

Phone Number: Phone Number is not valid

Family Member 1: Family Member 1 is not valid

Family Member 2: Family Member 2 is not valid

Family Member 3: Family Member 3 is not valid

Family Member 4: Family Member 4 is not valid

Family Member 5: Family Member 5 is not valid

Email:* Invalid Email

Cash or Check

Please send your cash or check to:

Janesville Velo Club
P.O. Box 1601
Janesville, WI 53547

Note: This can take several weeks to be approved.

Credit/Debit Card

I agree to the JVC Waiver (click here to read)*

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