Lawrence Mountain Bike Club - Online Membership Form

Join LMBC Online with PayPal

Purchase your membership online with PayPal. You do not have to have a PayPal account to use this service.

Complete the form below. You will be taken to PayPal's site to complete the payment transaction. Annual membership costs 10 US dollars.

Contact Information:
First Name	* Required
Last Name	* Required
Email	* Required
Address 1	* Required
Address 2
City	* Required
State	Zip * Required
Phone	( ) -
Membership Details
Membership type	New membership Renewing membership
Newsletter preference	Send me the newsletter by EMAIL and by US Mail Send me the newsletter by EMAIL only
Interests (please check all that apply)	Leading club Rides Trail Patrol Trail Maintenance Event Director Helper at Events Club Officer Advocacy Issues Youth Activities Newsletter Racing Recreational Riding Other:
Release and Hold Harmless Agreement: In consideration of my participation in the Lawrence Mountain Bike Club, I hereby release and agree to hold harmless said organizer and all other riders participating in club events from any and all claims for personal injury or property damages sustained to other members or to myself during such participation.

Copyright © The Lawrence Mountain Bike Club
info@lawrencemountainbikeclub.org
PO Box 1963, Lawrence, KS 66044-8927
www.LawrenceMountainBikeClub.org