Membership Signup

ADDRESS INFO
Membership Type *	Individual membership ($30.00 for one year) The basic one-year membership for individuals, which includes: One-year subscription to Bent Rim Bugle MMBA Member stickers Discounts at various bike shops and retailers Full access to MMBA web site Free admission to select MMBA functions (excluding CPS) Option to participate in CPS (must still pay CPS fee) $15 Student (18 & under) rates are available at select MMBA events only. Contact us for further information. Family membership ($40.00 for one year) Individual member benefits are extended to all family members. Patron membership ($50.00 for one year) Patron members receive all the Individual benefits Supporting membership ($75.00 for one year) Supporting members receive all the Individual member benefits along with special recognition in the MMBA newsletters. Benefactor membership ($100.00 for one year) Same benefits as Supporting members Lifetime individual membership ($500.00 for 20 years) This membership provides all the individual membership benefits for life. (Not for corporate members) Corporate: Basic membership ($75.00 for one year) Basic annual corporate membership/sponsorship. Includes only one storefront listing in newsletter and on web site. Corporate: Bronze membership ($150.00 for one year) Basic membership benefit plus one quarter-page newsletter ad and one-time direct mailing. Multiple storefront listings are okay. Corporate: Silver membership ($500.00 for one year) Includes Bronze membership benefits plus free booth space at Annual Explo and one-time direct mailing Corporate: Gold membership ($1000.00 for one year) Includes Silver membership benefits plus front page web banner ad and four quarter-page newsletter ads Corporate: Carbon Fiber membership ($5000.00 for one year) Includes Gold membership benefits plus four full-page newsletter ads, two direct mailings, and program sponsorship Corporate: Titanium membership ($10000.00 for one year) Includes Carbon Fiber membership benefits plus priority web advertising, four direct mailings, and program title sponsorship
Payment System *	PayPal secure credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 3 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Company, organization or club For business and club memberships only
Phone number (preferred) *
MMBA Chapter Choose a Chapter Affilliation. [Note the the Southeast and Pontiac Lake Chapters have been redistricted. The new chapters are Metro South and Metro North. The boundary is Woodward and M-59 (west of Pontiac).]	None Holly/Flint Metro North Metro South Mid-State Northeast Northern & U.P. Potawatomi Southwest Western
MMBA Newsletters	Mail quarterly Do not mail
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