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Membership Form

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bikinginla

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May 26, 2010, 12:39:27 AM5/26/10
to League of Bicycling Voters LA
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.

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