First Name:
`
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer


My Employer Will Match this Gift

Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM102




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer


My Employer Will Match this Gift

Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM301




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM302




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:

Choose your free gift


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM303




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:

Choose your free gift


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM304




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:

Choose your free gift


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities











INDMEM305




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:

Choose your free gift


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities
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INDMEM112




First Name:
Last Name:
Email:
Phone:
Address:
Apt. #:
City:
State:

Zip Code:

Employer:


My Employer Will Match this Gift
Add a Household Member
Household Member First Name:

Household Member Last Name:

Household Member Email:

Household Member Employer:

Choose your free gift


Yes

Shipping Address:

Apt. #:
City:
State:

Zip:
Name on Card:
Credit Card Number:
Expiration:

CVV (3 Digit Code on Back of Card):
How did you first hear about the Bike Fed?

Why are you joining or renewing?

Your Preferences:

After sending my membership packet, please do not send me anything else by mail (including the magazine)

I don’t wish to receive phone calls from the Bike Fed regarding my membership status

The Bike Fed occasionally exchanges its mailing list with organizations involved in issues we feel you may also find of interest. If you don’t want to have your name exchanged, please check here.
Mailing List Subscription:
Volunteer Opportunities