Join Rockland Bicycling Club

Complete this form and press the 'submit' button to create your membership online. We use Paypal for online processing so you can pay with a Paypal account or via credit card. All transactions are processed on a secure server. This method takes just a few moments, and your membership will start as soon as you complete the registration steps. You'll also be able to use the message boards and other member-only features right away.

Information that is required to process your membership is indicated with an asterisk (*).
Click here for a printable membership form.


Membership Type	Regular One-Year Family Membership - $15 Two-Year Family Membership - $20 ($5 savings!) Three-Year Family Membership - $55 ($10 savings!) Lifetime Membership - $200 (A great value!)


First Name*
Middle Name
Last Name*
Suffix
Address 1*
Address 2
City, State, Zip*
Phone Number
E-mail*
Confirm E-mail*
Referral Code	Please enter your referral code if you received a mailing or handout from someone besides the Club (example, bike store, personal trainer, coffee shop...)


Username*
Password*
Confirm Password*