CAB Membership Form Use the webstore to pay the membership dues online, or send a cash or check to 1820 Old Morrilton Hwy, Conway, AR 72032. ← BackYour membership has been received Full Name(required) Home Address(required) City(required) State(required) Zip(required) Phone(required) Is your phone Home or Cell?(required) Select one option Home Cell Email(required) Where do you work?(required) Cycling Interest(s) Casual rides Road biking Mountain biking Gravel rides Bike repair Other cycling interests Membership Membership renewal?(required) Select one option New membership Renewal Membership type(required) Select one option Individual—$10 Family—$15 (includes benefits for 2 members, receive 3 T-Shirts) Student/Retiree—$5 Lifetime—$200 Corporate—$100/$250/$500 T-Shirt Size(required) Select one option Small Medium Large X-Large CAB Activities—Member Input Please indicate area(s) where you would be willing to contribute, depending on your interests: Advocacy and Education (help with bike rodeos, become a safe cycling instructor) Social Activities and Events (lead group rides, help with annual membership social) Conway Fall Classic (help organize and work in this annual bike tour) Bike Share & Repair (help repair and refurbish bikes for our community) In addition to these activities, what other bike-related activities would you like to see CAB initiate? What skills or interests do you bring to this organization? SendSubmitting form Δ
