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Annual Recurring Membership
Thanks for joining us! Choose your annual amount here.
*
$60 per year - Individual Membership
$70 per year - Individual Membership & Sock Incentive
$100 per year - Household Membership & Tshirt Incentive
$250 per year - you're making a wheel difference!
$500 per year - fork yeah!
$1,000 per year - a lifetime membership, a re-tire-ment from giving every year!
$5,000 per year
Other:
Other Value
Is this a New Membership?
*
New Membership
Renewal
Name
*
First Name
*
Last Name
*
Address
*
Address Line 1
City
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Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
Missouri
Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Email
*
Short Answer
Notes - Include names & emails of household members if this is a household membership
Subscribe to our monthly enews.
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Interest
General E-News
Membership News & Notifications
Advocacy
Events
Grandview Petision - temp
Total
Date/Time
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2024
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AM/PM
AM
PM
Mobile Phone
*
Phone Type
Mobile
Household
Work
Other
How do you wish to pay?
*
Paypal
Credit card
Selecting Paypal will redirect you to PayPal Standard to complete the payment process and is the preferred Community Cycles method. This will automatically renew in one year.You can cancel recurring payments at anytime.
Credit Card
Date/Time
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Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
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AM/PM
AM
PM
stage
Campaign Record Type
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