Atlanta Bicycle Campaign

Membership Application

Yes! I want to make Atlanta a hotbed for bicycling and bicycle transportation!

Choose One:	[ ] new member	[ ] membership renewal
Choose a Membership Level:	[ ] $1,000 Bike Angel	[ ] $100 Corporate
	[ ] $500 Super Sponsor	[ ] $100 Organization
All donations are tax deductible.	[ ] $ 100 Patron	[ ] $50 Family
	[ ] $ 60 Advocate	[ ] $30 Individual
	[ ] $ 50 Sustaining
____________Total Enclosed

Bike Angel, Super Sponsor, Patron, Advocate, and Sustaining members receive T-shirts with their donations.
Please circle T-shirt size:  M      L      XL

NAME ______________________________________________________

ADDRESS __________________________________________________

CITY _______________________________________________________

STATE _________________________ZIP_________________________

COUNTY  ______________________________

PHONE (______)__________________________

E-MAIL _____________________________________________________

Today's Date ____________________________

Employer _____________________________________________
ABC works with employers in many ways, including fund-raising, bicycle commuting, and cycling classes.  We also seek volunteers based on work skills.
You can help ABC more effective in our mission by including the above information, but it is purely optional.

Profession or type of work ______________________________________

[ ] Alert me electronically about bicycle issues, alerts, and events that affect my riding.
[ ] Alert me about public hearings in my area.
[ ] I do not wish my name to be given to other cycling organizations.

I want to be an active volunteer for ABC I'll do:

[ ] office work	[ ] staffing exhibit tables
[ ] lobbying and advocacy	[ ] Bicycle User Groups (BUGs)
[ ] newsletter	[ ] Just call and ask!

I heard about ABC from: ____________________________________________________

Mail to: ATLANTA BICYCLE CAMPAIGN • P.O. Box 5525 • Atlanta, Georgia 31107 • 404-881-1112