BAW Membership Form

The Bicycle Alliance of Washington - Advocates for bicyclists and a bike-friendly Washington

The Bicycle Alliance of Washington -- promoting bicycling for everyday transportation through education and advocacy

311 3rd Avenue South - Seattle WA 98104
PO Box 2904 - Seattle WA 98111

206.224.9252 - info@bicyclealliance.org

Save the Date:
Saturday, October 18th
The 16th Annual
Bicycle Alliance Auction
will be held at
Seattle Center Fisher Pavilion.

Donate Items NOW using our
Online Donation Form

You can also
Purchase Tickets Online

BAW Membership Information

On-line Membership Join/Renew Form

Use the form below to JOIN the Bicycle Alliance or RENEW your Membership.
Note: Fields marked with * are required.

After you fill out this form and hit the SUBMIT button, you will be asked to pay with a credit card through PayPal. You do not have to be a PayPal member to use this secure online payment service--you just have to have a credit card.

Membership Information
*Membership History:	NEW Member Renewing Member
*Membership Type:	$35 Individual $60 Family $100 Patron $250 Sustaining $500 Life $15 Student/Senior or Living Lightly $150 Affiliate (club, business, etc.) Organization Name: PayPal charges us a fee. Would you like to pay a few bucks to cover it? Yes! I'll chip in $2 to help cover the cost of this transaction.
*First Name:
*Last Name:
*Phone:
*Email:
*Mailing Address: new address
*City:
*State/Province:
*Zip/Postal Code:
Optional Information
How did you hear about the Bicycle Alliance?	Renewing member BAW website Ride or Event: Referred by: Other:
How often do you commute to work or shop/do errands by bike?	Daily 2-3 times per week Once a week Once a month When the weather is good Never
Number of Cyclists in your household?
Comments:
*I am a human:	I want to ride my [the TYPE of VEHICLE we advocate for]

Thank you! The Bicycle Alliance of Washington is a registered 501(c)3 organization. Your member ship is a 100% tax-deductible donation. The Bicycle Alliance occasionally exchanges its mailing list with organizations involved in similar issues. If you DO NOT want to have your name exchanged, please check here:

Modified: June 2, 2008