Membership Checkout – Kalamazoo Bicycle Club

Membership Information

You have selected the Family 1 Year Membership membership level.

The price for membership is $45.00 now.

Membership expires after 1 Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Primary Member

Enter Your Information

Primary First Name

Primary Last Name

Primary Phone Number

Second Family Adult

(Optionally) Enter Information for a Second Adult

Second Family Adult First Name

Second Family Adult Last Name

Second Family Adult Email

Children

Enter information for up to four children.

Child One First Name

Child One Last Name

Child Two First Name

Child Two Last Name

Child Three First Name

Child Three Last Name

Child Four First Name

Child Four Last Name

Address

Enter Your Address

Street Address

City

ZIP Code

Emergency Contact

Family memberships: you don't need an emergency contact if you've already entered two adults, but you're welcome to add one.

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone

Volunteer

Please choose a KBC activity, or activities, in which you would like to be involved:

Social Events

Bike Camp - Month of May

KalTour - Mid-May through end of June

Club Rides

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