Application - Print Out
National Bicycle Dealers Association Membership Form
Date:_____________
Name:_______________________________ NBDA Member #_________________
Business Name:______________________________________________________
Street Address:____________________________________________________________
City:__________________________________________State:__________Zip:____
Phone:___________________________________________Fax:_______________
E-mail address:___________________________ Web site:___________________
|
Description |
Price |
|
NBDA Membership |
|
|
NBDA Individual Membership (for current retailer employees and managers) |
$50 |
|
NBDA Dealer Membership (retailer with physical store and at least 50% revenue related to cycling) |
$195 |
|
NBDA Associate Membership “A” (individual, supplier or company allied to the bicycle industry, annual revenue over $1,000,000) |
$850 |
|
NBDA Associate "C" membership (individual, supplier or company allied to the bicycle industry, annual revenue under $1,000,000) |
$550 |
|
NBDA Additional Store Location & Information "I" membership (store listing and newsletter, for current members only) |
$50 each location |
|
NBDA donation, Gold Level |
$100 |
|
NBDA Donation, Silver Level |
$50 |
|
NBDA Donation, Bronze Level |
$25 |
|
Total Due |
Payment Options
_____ Check (made payable to NBDA)
_____ Credit Card ___MasterCard ___Visa ___American Express
Card Number _____________________________________________________
Expiration date (required)______________
Signature____________________________________________________________
National Bicycle Dealers Association
25431 Cabot Road, Suite 204
Laguna Hills, CA 92653
Phone: 949-722-6909, e-mail: info@nbda.com