National Bike Summit Brochure

Page 1

n at ion a l Bik e summ it 2 010 M a rch 9 -11, 2010 • Wa shington, D.C.

Pr e s e n t e d by:

Register online at www.bikeleague.org.

Sp o ns or e d by:

R egist r at ion Fees

First 100 League Members to Register Online at www.bikeleague.org by 12/31/2009: $285

To celebrate the 10-year Summit anniversary, the first 100 League members to register online at www.bikeleague.org will receive a discounted registration rate of $285 – the registration fee for the Summit 10 years ago! Offer ends December 31, 2009.

R egist r at ion I nfor m at ion

Early Bird*

Regular

League Member:

$375

$475

Non-member: One-day: Bike Rental:

$455 $245 $35

$580 $370 $35

(Congressional Bike Ride)

Total: $

$

*Early Bird: Postmarked or registered online before 2/4/10. $50 administrative fee for cancellations prior to 2/18/10. No refunds after 2/18/10.

Name:

Mailed registration must be postmarked by 3/2/10 and online by 3/4/10. Address:

m e m ber ship

Company:

Yes! I want to join the League of American Bicyclists and attend the Summit at the member rate.

Position :

Membership Level: E-mail: League Membership #: Phone: Fax: Congressional District:

I plan on attending the advocacy training on Tuesday, March 9 I am unable to participate in Congressional meetings I would like to rent a bike for the Congressional Bike Ride

Please select from the following: Advocate Government Industry: Supplier Industry: Dealer Other

$35 $50 $60 $85 $110

$65 $95 $115 $165 $215

Life Member: $1,000 Life Membership $1,500 Life Family Membership Total: $

r egistr ation M arch 9 - 11, 2010

$

Paym en t I nfor m at ion

Check enclosed (payable to the League of American Bicyclists)

Please charge my:

Visa

MasterCard

Card #

AmEx

Exp. Date

Building on

10 Years

of Progr ess

Card Holder’s Name Billing Address

None Vegetarian Vegan Other Bike Rental (for Friday’s Congressional Bike Ride): L

Check if same as above address.

Address

City

M

2 Year

Signature

Special dietary needs:

Bike Size: S

Individual Member: Family: Advocate: Advocate Family: Silver Spoke:

1 Year

Nationa l bik e summit 2010

State

Fax to: 202-822-1334, Mail to: League of American Bicyclists 1612 K Street NW Suite 800, Washington, DC 20006

Zip

Pr e s e n v t e d by:

Sp o ns or e d by:


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