BWA-NH Membership Application

Want to help the Bike-Walk Alliance?

Join the Alliance as an individual or a sponsor, help with the bike-ed programs, and get involved with local planning issues affecting bicycling in your area. The more people who know what is going on in our NH bicycling community, the sooner the better, then everyone can express their opinions in a timely manner to help make a positive difference for all bicyclists. Did you know that by joining the Alliance your payment includes a full GSW membership with all the benefits? Present GSW members are encouraged to join the Alliance when your current membership is due for renewal. For more details please visit our web site at www.bwanh.org

BWA-NH Focus

The Bike-Walk Alliance of New Hampshire is the only statewide advocacy group for bicyclist and pedestrian activities including legislation, safety, and education programs. For a complete listing of BWA-NH goals and benefits, please visit our web site, www.bwanh.org

BWA-NH Membership Application

Membership categories:
Benefactor $250.00*
Sponsor $100.00*
Contributing $75.00*
Supporting $50.00
Basic $35.00
Other__________ $______
Method of Payment Cash Check
* As a special thanks to Benefactors, Sponsors and Contributors, they receive a free copy of the League of American Bicyclists' Guide to Safe and Enjoyable Cycling (a $15.00 value).

Name________________________________________________________

____________________________________________________________

Address______________________________________________________

City State Zip ____________________________ ____________________

E-Mail Phone # ___________________________ ____________________

Signature Date___________________________ _____________________

Bike-Walk Alliance of New Hampshire
57 Regional Drive, Suite B-1
Concord, NH 03301-8518
www.bwanh.org
info@bwanh.org
603.898.9926

Granite State Wheelmen