EBC Member Application Form

ID Number
Membership type
Status	New member Renewal
Term
Fee
Donation
Set up automated recurring payment?	Yes ($20/year, only for annual individual membership)
Joined Last renewal Expires
Member Information
First Name	Last Name
Street Address
City		Province
Postal Code
Phone Number		E-mail
Subscribe to the newsletter?	Yes No
Volunteer interests	BikeWorks		Advocacy
	Summer Events		Communications
	Magazine		Governance
Other interests
Read about the benefits of membership, and how your support contributes to a better city for cycling. As soon as you finish your payment, your membership will be active and valid. However, to receive your membership card, you must visit BikeWorks in-person during our regular open hours. You don't need to bring proof-of-purchase: a volunteer will confirm your membership in our database and give you your card.
Do you want us to mail your card instead?		Yes
When you click Submit, several new windows will open. Please allow them to display if you have a pop-up blocker active. Please complete your payment in the Paypal payment window. We will activate your membership after we receive your electronic payment. You do not need a Paypal account to use this: a regular credit card or debit card can be used. (If you prefer, you can mail your payment to PO Box 1819, Station Main, Edmonton AB, T5J 2P2. Please indicate that you applied online.) The second window will confirm that we have received your membership application. If you choose to subscribe to our mailing list, a third window will ask you to confirm your subscription. If you have any questions, please e-mail info@edmontonbikes.ca