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: Membership
PO Box 54488
Phoenix, AZ 85078-4488

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