Greater Arizona Bicycling Association 
          (GABA) Tucson Chapter
 
         MEMBERSHIP APPLICATION 
        or Change of Address Form

____New member          ____Renewing member

       Yearly membership (check one):

____Individual $15           ____Family $18

____Student $10 (Enclose copy of ID

____Change of Address Only


Name_______________________________________

Address____________________________________

City_______________ State_____ Zip_________

Phone (day)____________ (eve)______________

Email address____________@_________________

I can help (check all that apply):

    ____(A)  Lead a Day Ride 
    ____(B)  Lead an Overnight Ride   
    ____(C)  Help on an Overnight Ride
    ____(D)  Lead a Century Ride
    ____(E)  Help on a Century
    ____(F)  Serve as a SAG volunteer
    ____(G)  Serve on Cross-State Committee
    ____(H)  Do a Slide Presentation
    ____(I)  Sabino Canyon Bike Patrol

Other Interests ___________________________

___________________________________________

Please note:  GABA does not sell its mailing
list.  This information is requested to help
your chapter better meet the needs of all 
GABA members.