Online Membership Form

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Thank you for taking the next step and joining the CCBA -OR- making a donation.  

Your contribution furthers the strength of CCBA as an organization and helps to fulfill the CCBA Mission to put more cyclists on safer streets with more educated road users.

The CCBA is a non-profit 501c.3 - your contributions could be eligible for a tax deduction and employer matching contribution programs.

Note: Payment and info will be submitted securely through PayPal using a PayPal Account -OR- Credit Card.  Make sure to include your "shipping" address and contact information so that we can put your information into the database. 

bike007.gif (Your Choice) Donation - $(Your Choice)
bulletAre you excited about what the CCBA is doing?
bulletThe CCBA will put your donation directly to work!  
bulletThe donation amount is your choice!
bullet Thanks for your financial support!  

Sustainer Level Membership - $250

Would you like to get CCBA e-mails?
Preferred E-mail Address?

Supporter Level Membership - $100

Would you like to get CCBA e-mails?
Preferred E-mail Address?

Sponsor / Family Membership - $50

Would you like to get CCBA e-mails?
Preferred E-mail Address?

Individual Basic Membership - $30

Would you like to get CCBA e-mails?
Preferred E-mail Address?

 

For corporate or bike shop membership levels - please contact Anne Hayes.

 

Please cite the CCBA & link to CCBA website if you borrow content from this website.
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Last updated: January 25, 2008.