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Please input your information
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Member information |
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Campaign |
Cycle4Seasons |
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First name*
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Last name* |
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Organization |
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Address* |
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City* |
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Email*
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Anonymous donation |
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Membership Information
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Membership Type |
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Donation frequency |
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Number of occurrences |
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Amount
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Other amount: $
$500.00 [ GOLD Level includes:- Individual Adult Cycling Club membership until Dec 2014
- Individual Adult Season Pass to Velodrome until Dec 2014
- Individual Adult Track Bike rental until Dec 2014
* A savings of almost $300 ]
$1,000.00 [ PLATINUM level includes:- Individual Adult Cycling Club membership until Dec 2014
- Individual Junior Cycling Club membership until Dec 2014
- Individual Adult Season Pass to Velodrome until Dec 2014
- Individual Junior Season Pass to Velodrome until Dec 2014
- Individual Adult Track Bike rental or storage until Dec 2014
- Individual junior Track Bike rental or storage until Dec 2014
* A savings of almost $2,000 ]
$1,500.00 [ DIAMOND level includes:- Household membership until Dec 2014
- Household Season Pass to Velodrome until Dec 2014
- Household track bike storage until Dec 2014
- Household track bike rental until Dec 2014
- Houehold = 1 adult couple and their children
*A savings of almost $2,000 ]
$3,000.00 [ DIAMOND TEAM level includes:- Team membership until Dec 2014
- Team Season Pass to Velodrome until Dec 2014
- Team track bike storage until Dec 2014
- Team track bike rental until Dec 2014
- Team = 8 adults or juniors
*For an additional $2,000 – the team can have a banner and be considered a sponsor ]
$325.00 [ JUNIOR DEVELOPMENT SCHOLARSHIP includes:- Individual Junior Cycling Club membership until Dec 2014
- Individual Junior Season Pass to Velodrome until Dec 2014
- Individual junior Track Bike rental or storage until Dec 2014
- Coaching services
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$25.00 [ CYCLE4SEASONS PLEDGE includes:- A Chicago Velo Campus Hat
- A Rapid Transit CycleShop Water Bottle
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Paypal
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| Account Holder Name* |
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