Use this page to sign up for a UBC membership with your credit card. All information is transmitted by our secure server.

Select your membership type from the choices below, including the dollar amount of your contribution and, if applicable, the membership gift you would like.

• Additional family membership cards are available for $10 per person.

Type

Membership Type		New Renewal
Is this is a gift?		Yes
If Yes, please complete:
Giver's Name
Giver's Email
Giver's Phone

Member Information

Member Name
Address
City, State
Zip
Home Phone (include area code ex. 415-123-4567)
Work Phone
Email

		Please don't share my info with other groups, even if they're cool and they only send me something once.
How did you hear about us? Please select an option Renewal Reminder mail Referred by friend/SFBC member VeloSwap Offer--new member VeloSwap Offer--existing member Bike Ed class Tube Times Cycling Club/Team Other If Other ->

Additional Members

$10 will be added for each additional member at the same address.

Name		Email
Name		Email
Name		Email
Name		Email

Volunteer Interests

I can help SFBC get bike lanes on these streets:
Market St Cesar Chavez St 7th Ave Alemany Blvd		Post St Fell St Illinois/3rd St Corridor Other
I'm interested in helping with:
event tabling graphic design flyer distribution volunteer night website weekday office help		phone tree calling writing for the Tube Times attending transportation meetings fundraising valet bike parking other

Contribution Level

$25 - Introductory
$30 - Renewal
$52 - Buck the System!		A buck a week for better biking!
$120 - Cruiser's Club
$250 - Two-Wheeled Wonder		Equal to the cost of owning a car for two weeks, according to AAA.
$500 - Velorutionary		or $42/mo
$1000 - High Wheeler		or $83/mo
Other
Make me a Monthly Sustainer. Charge this amount monthly for one year.

Membership Gifts

If you can give at one of the following levels, please choose a gift as a token of our thanks for your generous support.

No gifts - please use my full contribution for bicycle advocacy.

$52 : Choose from the following
Select... Men's T-Shirt: 'ONE LESS CAR' Women's Form-fit T-Shirt: 'ONE LESS CAR' Book: 'CARtoons' Book: 'Short Bike Rides: SF' Book: 'Urban Biker's Tips and Tricks' T-Shirt size - S M L XL color - --STANDARD (M)-- Black Lake Blue Pine Green Scarlet Red --FORM-FIT (W)-- Black Sky Blue Olive Green Scarlet Red
$120 : Choose from the following
Select... Men's T-Shirt: 'ONE LESS CAR' Women's Form-fit T-Shirt: 'ONE LESS CAR' Book: 'CARtoons' Book: 'Short Bike Rides: SF' Book: 'Urban Biker's Tips and Tricks' Chain Ring Cap T-Shirt size - S M L XL color - --STANDARD (M)-- Black Lake Blue Pine Green Scarlet Red --FORM-FIT (W)-- Black Sky Blue Olive Green Scarlet Red
$250+ : Choose any or all of the following
Select... Men's T-Shirt: 'ONE LESS CAR' Women's Form-fit T-Shirt: 'ONE LESS CAR' T-Shirt size - S M L XL color - --STANDARD (M)-- Black Lake Blue Pine Green Scarlet Red --FORM-FIT (W)-- Black Sky Blue Olive Green Scarlet Red SFBC Chain Ring baseball cap Short Bike Rides: SF Urban Biker's Tips & Tricks CARtoons

Payment

Check box if credit card billing address is same as Member address entered above

Name on Card
Billing Address
City, State
Zip/Postal Code
Phone
Country
Credit Card		Visa Mastercard
Card Number
Expiration month/year		<Select One> 1-January 2-February 3-March 4-April 5-May 6-June 7-July 8-August 9-September 10-October 11-November 12-December / <Select One> 2005 2006 2007 2008 2009 2010 2011 2012
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