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Affiliate Application

YES! I want to our club to affiliate with the League and help create the strongest and most influential national force for cyclists.

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Affiliate with the League

Application Type
Individual Organization

New or Renewal
New Renewal
Member No:

Member Level

   1 Year   2 Years
Regular $35 $65
Advocate $60 $115
Silver Spoke $110 $215
Family $50 $95
Advocate Family $85 $165
Life Member $1000 or
four semi-annual installments of
$275 each **
Life Family $1500 or
four semi-annual installments of
$400 each **
Only renewing LCI  

Organization Level

   1 Year  
6-50 members $45  
51-100 members $55  
101-250 members $65  
251-500 members $75  
501-1000 members $85  
1000 + members $95  

Organization Type

Renewing LCI

 If you are a League Cycling Instructor, now is the time to renew your LCI certification. If you'd like to renew your certification, select below.
  1 Year   Not at this time
$25

Second family LCI

   1 Year
(two renewals) 		 
$50  
 

Just in time for fall! Join today at the Advocate or Silver Spoke level and receive a FREE set of bike lights.

Just in time for fall! Join today at the Advocate or Silver Spoke level and receive a FREE set of bike lights.

No, thanks! Please put my entire contribution towards building a bicycle-friendly America.

Membership for:
Myself Gift

Your Information
First Name:
Last Name:
Address:
Address 2:
City:
State:
Zip:
Country:
Phone:
E-Mail:

Second Family Member Information
First Name:
Last Name:
E-Mail:

Your Information
First Name:
Last Name:
Address:
Address 2:
City:
State:
Zip:
Country:
Phone:
E-Mail:

Organization Information
Organization Name:
Organization Website:
Address:
Address 2:
City:
State:
Zip:
Country:
Phone:
E-Mail:

Organization Representative
First Name:
Last Name:
Address:
Address 2:
City:
State:
Zip:
How did you hear about the League?

Payment and Details
Payment Method: MasterCard Visa AMEX

Total Amount ($ US):
Credit Card Number: 
Expiration Date: /
Card Holder's Name:
 

Click the button below to submit your registration.

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Gas prices are heading inexorably towards $4 a gallon. The impacts of climate change are more visible, and more obvious, every day. The massive economic costs – and very real personal impacts – of physical inactivity, obesity, congestion, and traffic crashes are starting to be tallied and the statistics are alarming. Click here to learn how you can help the League.