TEST JOIN PAGE Hi. Don’t use this for real. Contact Information First Name Last Name Street Street 2 City Country Please select…AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos ( Keeling ) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d ‘ IvoireCroatia ( Hrvatska )CubaCyprusCzech RepublicCongo ( DRC )DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands ( Islas Malvinas )Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PrìncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands ( British )Virgin IslandsWallis and FutunaYemenZambiaZimbabwe State Please select…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandNorthern Mariana IslandsGuamAmerican SamoaPalau Province Please select…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip/Postal Code Email Phone Choose Your Membership Level Individual Membership – 1-year membership – $35Individual Membership – 2-year membership – $60Student/Senior Membership – 1-year membership – $25Sustaining Membership – 1-year Sustaining Membership – $100Jersey Club Membership – 1-year Jersey Club Membership – $500Membership & Additional Donation – 1-year Membership ($35) + Make this an autorenewing membership for $30/year Make this an autorenewing membership for $25/year Make this an autorenewing membership for $100/year Make this an autorenewing membership for $500/year Members who join with a contribution of $100 or more will receive a WABA t-shirt Choose your t-shirt size, or select “None” Please select…SMLXLNone Members who join with a contribution of $500 or more will receive a WABA jersey Choose your jersey size, or select “None” Please select…XSSMLXL2XL3XLNone Donation Amount Credit Card Information Name on Card Card Number MM YY Code Please Choose Your Contact Options WABA sends current members bi-annual appeal letters and quarterly paper newsletter called RideOn If you do not select one of the three options below, WABA will send you all print mailings and a paper copy of RideOn. Manage your email subscriptions here: Please only contact me by email including an email version of RideOnPlease don’t send me print mailing except a paper version of RideOn Additional Contact Preferences Please don’t call me. Thanks.Please send me print mailings but send me an email version of RideOn HiddenFields OneTimeAmountCalculation AutorenewAmountCalculation IsIndAutoRenew IsStuSenAutoRenew IsSustainAutoRenew IsJerseyAutoRenew Share this:FacebookTwitterTumblrPrint