Ann Arbor Bicycle Touring Society (AABTS) MEMBERSHIP APPLICATION

Memberships are in effect for the calendar year, Jan 1 to Dec 31. Effective September 1, 2010, dues are $20 for a single, $25 for a family. There is an additional $5 fee if you wish printed copies of the Newsletters and Ride Calendars mailed to you. Please fill out the form below and check the box indicating that you have read our Assumption of Risk Agreement and Liability Release. After completing this page, you will be presented with a form to submit payment online. If you wish to send a check or money order, please fill out and print the PDF version of the AABTS Membership Form.

Member Information:

Membership Year:	Select...201220132014
Membership Status:	New Renewal
Membership Type:	Single Family
First Name:
Last Name:
Address 1:
Address 2:
City:
State:	Select...--------------------AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces(APO)Armed Forces(FPO)--------------------AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory--------------------Outside US or Canada
Zip:
Phone:	()--
Email 1:
Email 2:
Family Members:

Membership Options:		Comments
Do not publish my name or contact information on Club Membership list: (Membership list distributed to AABTS members only)	Do not publish
Email club updates and when ride calendars and newsletters are online:	Yes No
Send ride calendars and newsletters via US Mail ($5 additional fee):	Yes No
Would you be willing to work on our annual One Helluva Ride?	Yes No
Would you be willing to help with other club activities?	Yes No
Would you be willing to lead a club ride?     If yes, what level?A B C	Yes No