The Coalition of Arizona Bicyclists
Membership Form for Organizations( or join onine at
www.cazbike.org/join )www.cazbike.org ¤ cazbike@cazbike.org ¤ (623)252-0931
The Coalition of Arizona Bicyclists is a registered 501(c)(3) nonprofit organization formed to enhance the role of bicyclists in local, county, and statewide transportation and recreation plans. We provide communication on all matters concerning bicycling facilities and advocacy throughout the State of Arizona.
Please print, fill out and return w/check to address below
Organization: _____________________________________________________
Contact Name: ____________________________________________________
Address: _________________________________________________________
City/State/Zip: ____________________________________________________
Phone: ___________________________________________________
E-Mail: ___________________________________________________
Full Dues $150:___ Dues w/1 Affiliation $100:___ Dues w/2 Affiliations
$75: ___
(please circle affiliations, below)
Mail Check to:
Coalition of Arizona Bicyclists
Attn: Ed Beighe / Membership
3174 E Desert Broom Way
Phoenix, AZ 85048
| If you are a: |
Eligible Affiliated Organizations: |
| Bicycle Club | LAB / IMBA / Thunderhead Alliance |
| Business Sponsor | LAB / IMBA / Thunderhead Alliance / ABC / Flagstaff
Bicycling / GABA Tucson / GABA West Valley / MBAA / PMBC / Prescott Alt
Trans / Prescott Chain Gang / Sonoran Desert Mountain Bicyclists / VVCC /
Other (please specify) ______________ |
TO ENHANCE the role of bicycling in local, county & state plans.
TO PROVIDE communications on matters concerning cycling
TO ADVOCATE bicycling throughout the State of AZ