Membership Form

League of Bicycling Voters Los Angeles — Registration for Membership

We’re in the process of developing an online registration form; however, you can enroll as a member now by emailing the answers to the following questions to lobvla@mindspring com.

Name:

Address:

City, State, Zip:

Phone:

Email:

Occupation:

I would like to volunteer on the following committees or areas of interest:

In addition to the LBVLA, I am a member of the following bicycling organizations (if any):

Note: Membership dues to be determined; no payment is due at this time. You will be contacted once dues have been established.