Membership Form

Date        ____________________

Name        _____________________________________________________

Address     _____________________________________________________

            _____________________________________________________

City        ____________________  Province ______________________

Postal Code ____________________

Home Phone  ____________________  Work Phone ____________________

Fax         ____________________

Email       _____________________________________________________


Are you willing to volunteer?

     Trail Maintenance ___
     Events            ___
     CMBA Executive    ___
     Other (specify)   __________________________________________


Newsletter via  ___ Internet  ___ Canada Post


Membership Fees

     ___ Individual         $10.00 / year
     ___ Family             $25.00 / year
     ___ Bicycle Retailer  $200.00 / year

     For  ___ 1 year  ___ 2 years


Please enclose a cheque made payable to the
   Calgary Mountain Bike Alliance