--- Southern Bicycle League Supporter ---

SBL Membership Application

Please allow 2 to 4 weeks for processing. Applications received before the 3rd week of the month will ensure membership by beginning of the next month.

(* indicates required information)

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

Phone Number: *

Email: *

Renewal? Membership number:

(top left of mailing label)

Do you want your name and address listed in the SBL Directory?: *

Yes

No

Comments and/or suggestions for club activities or events:

Type of bike owned:

Road

Mountain

Recumbent

Tandem

Hybrid

Are you a member of:

Bicycle Association of North Georgia (BANG)

League of American Bicyclists (LAB)

United States Cycling Federation (USCF)

Atlanta Bicycle Campaign (ABC)

Gwinnett Touring Club (GTC)

Chicken City Cyclists (CCC)

Southern Off-Road Bicycle Association (SORBA)

American Youth Hostels (AYH)

Metro Atlanta Cycling Club (MACC)

Pairs Enthusiastically Astride Cycles Having Experiences Simultaneously (PEACHES)

Adventure Cycling Association (ACA)

Yes! I'd like to volunteer:

Special Activities Committee

Public Affairs Committee

Safety Committee

Photography

Tabling at Events

Monthly FreeWheelin' mailing

Drop magazines at Post Office

Organize overnight tours

Web site

Wilson 100

Graphic Design

Publicity

Ride Leader

Please specify one of the following membership options: *

Individual Annual Membership: $20

Family Annual Membership (includes unmarried children under 22): $28

$10 of SBL Membership dues are for a one year subscription to FreeWheelin'

Optional Contribution:
SBL Operations Supporter

Optional Contribution:
SBL Public Affairs Supporter

NOTICE: THIS APPLICATION IS A CONTRACT WITH LEGAL CONSEQUENCES. READ IT CAREFULLY BEFORE AGREEING.

By checking the box below, you agree, warrant and covenant as follows: In consideration of my membership, I agree not to hold the Southern Bicycle League, Inc., or any of its members, liable for any injury or damage, however caused, which may result from participation in any event sponsored by the League. Further, I pledge to abide by Georgia law and ride in accordance with the standards of courtesy and safety as subscribed to by the League.

I agree to the above waiver *

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