Membership Application

Use this form to join the El Paso Bicycle Club or renew your existing membership. Just follow the three steps described below to complete the process.

STEP 1 - Complete all required information on this page and if you agree to the terms of the Liabilty Release (you'll see it soon) press the I Agree button at the bottom of the page. All information except that indicated as optional is required. Easy enough so far...

STEP 2 - When you have successfully completed all the required information on this page and press the I Agree button you will be transferred the Confirmation Page to confirm your membership. On the Confirmation Page you will again enter your name and then press the Buy Now button next to the membership you are requesting. Then...

STEP 3 - You will be transferred to PayPal to complete your transaction by entering your payment information. The information you enter on the PayPal page is stricly between you and PayPal. We don't receive your debt or credit card information and we really don't want it. Only after you have completed the PayPal payment process will your membership application be processed.

STEP 1 of 3

First Name:
Last Name:
Address:
City: (you don't have to live in El Paso, we just tried to make it easy if you do)
State:
Zip Code:
(This is the number you prefer we call.)
(optional)
(optional)
Email Address:

If this is a family membership please tell us the names of your family members included in ths membership: (optional)
E-Mail Address:
E-Mail Address:
E-Mail Address:
E-Mail Address:
E-Mail Address:

Are you currently a member of the El Paso Bicycle Club?

Do you wish to be listed in a club membership directory? (The directory will be distributed only to club members.)

The applicant (parent or guardian for persons under 18 years of age) represents and warrants that he/she possesses sufficient bicycling skills and competence to negotiate any and all road conditions that may be encountered on the proposed routes and that his/her bicycle is maintained in a safe operating condition. An ANSI or SNELL certified helmet is required on every ride. The applicant acknowledges that he/she has read this release, understands its terms, and intends to be legally bound and agrees on behalf of the applicant and his/her heirs, executors, administrators to release and hold harmless the El Paso Bicycle Club, its officers, members and or representatives for any and all blame or liability (including without limitation, liability for negligence or gross negligence) for any injury, damage, loss or inconvenience that may be experienced in connection with activities designed and conducted by the El Paso Bicycle Club.

BY CLICKING ON THE "I AGREE" BUTTON YOU ACKNOWLEGE THAT YOU HAVE READ THIS AGREEMENT, UNDERSTAND IT AND AGREE THAT YOU AND ANY FAMILY MEMBERS INCLUDED IN YOUR MEMBERSHIP ARE BOUND BY ITS TERMS AND CONDITIONS.

PLEASE NOTE: By clicking on the "I Agree" button you will be transferred to Step 2, the Confirmation Page, and from there the PayPal payment page where PayPal will accept your credit card information in a secure on-line environment. Your application will not be accepted without completing the PayPal payment process.