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First things first:

I want 100% of my donation to be tax deductible
(Digital membership included)I want some Bike Month membership goodies
(Select level below)

HOORAY!

You get a cool WABA shirt! Choose your t-shirt size, or select "None"

50th Anniversary T-Shirt "50 Years of Safer Streets and Better Bicycling"

And you get a cool WABA socks! Choose your sock size, or select "None"

50th Anniversary Socks "50 Years of Safer Streets and Better Bicycling"

Jerseys

AND You get a cool WABA jersey! Choose your jersey size, or select "None"

50th Anniversary Jersey "50 Years of Safer Streets and Better Bicycling"

If you don't see your size, please email membership@waba.org!

Contact Information

First Name

Just one name, please! If you'd like to share credit for this gift with someone, please email development@waba.org.

Last Name

Street

City

Country

State

Province

Zip/Postal Code

Phone

Is your donation in honor or memory of someone?

This donation is in memory ofThis donation is in honor of

Honoree name

Please notify honoree of gift

Honoree email

Honoree address

Memorial Name

Please notify next of kin

Next of kin name

Next of kin email

Add Family Members

I want to add an adult to my membership ($15)

I want to add an adult to my membership ($1 per month)

I want to add children under 18 (free)

Adult Family Member Contact Information

First Name

Last Name

This person shares my addressThis person has a different address

Street

City

State

Zip/Postal Code

What is this person's relationship to you?

Child 1

Child 1 Name:

Child 1 Date-of-Birth

Child 1 relationship to you:

Second Child

Add a second child

Child 2

Child 2 Name:

Child 2 Date-of-Birth

Child 2 relationship to you:

Add a Third child

Child 3

Child 3 Name:

Child 3 Date-of-Birth

Child 3 relationship to you:

Add a Fourth child

Child 4

Child 4 Name:

Child 4 Date-of-Birth

Child 4 relationship to you:

Payment Information

Add $

to offset credit card fees?

YesNo

Name on Card

Card Number

Code

Tax deductible amount: $

Not tax deductible: $

Tax deductible amount: $

Not tax deductible: $

Contact Preferences

Would you like a paper membership card mailed to you? (If you would like to save paper, your automated confirmation email can be used as a digital membership card)

Yes, pleaseNo, thank you

Please enter the family name you would like to appear on your membership card.

Family

No need to include "Family" in your input, it will automatically populate.

We occasionally send other paper mail. Is this okay?

Yes.Just once a year, please.No paper mail, thanks.

Please don't call me. Thanks.

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Monthly Total:

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Recurring Donation ID

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Quantity Ordered (one time, for stripe connector)