League of Illinois Bicyclists Membership Form

1. About you Please note that LIB does not sell our address or e-mail lists. We only send e-mail when a local advocacy issue arises. ** denotes required information.	Name **
	Address **
	City **
	State **
	Zip **
	Telephone
	e-mail address **
	I'm interested in:	Road project input
		Contacting legislators
		Safety education
		Trail projects
	Comments
2. Membership Level (Select one)	$25 Basic
	$35 Family
	$60 Advocate
	$80 Sustaining
	$100 Century
	$150 Patron
	$200 Benefactor
	$250 Bronze
	$500 Silver
	$1,000 Gold
	Other: $
3. Optional Premiums	Membership Level	Premiums available for that level (Select one)
		No premium desired thank-you.
	Advocate ($60 or higher)	LIB T-shirt size:
		Planet Bike BRT-3 taillight #3099
		Planet Bike CO2 inflator #1021
		Planet Bike Mini-pump #1020
	Sustaining ($80 or higher)	Planet Bike 1200X light set
		Protege 8.0 bike computer #8001
	Century ($100 or higher) level	Illinois "Pedal Power" Jersey size:
4. Payment **	Please send your check to League of Illinois Bicyclists, 2550 Cheshire Dr., Aurora, IL 60504-5232. If you already have (or want to open) a PayPal account, you may pay securely using any major credit card.
	I will send a check.
	I will use PayPal. Note:To use PayPal, you must use your existing Paypal account or open a new account. You will also need an e-mail address to remit to. Please use lib@bikelib.org. Opening a new PayPal account requires just a few minutes to complete PayPal's required forms and registration. makes it convenient to use any major credit card: