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ADDRESS INFO
Membership Type *	Basic ($25.00) Sustaining ($35.00) Advocate ($50.00) Supporter ($75.00) Big Ring ($100.00) Trail Builder ($250.00) Benefactor ($500.00) Lifetime ($1000.00) Bike Shop Employee ($15.00) * Please note the bike shop you work for in the "Notes" section below. FREE GIFTS: Membership gifts vary by your local chapter. Each membership always includes a membership/discount card. Please see your local chapter website for details on specific gifts per membership level.
Payment System *	PayPal -PayPal accepts secure credit card payments without requiring a PayPal account or additional fees.
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * If you have an existing OMBA forums login, we highly recommend you use that. The password and email you use must also match whats in your forum profile. User ID must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'	check for uniqueness
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
Phone number
Chapter * Select the local OMBA chapter that you wish to join.	Appalachia Outdoor Adventures (AOA) Cleveland Area Mountain Bike Association (CAMBA) Central Ohio Mountain Biking Organization (COMBO) Cincinnati Off Road Alliance (CORA) Mohican/Malabar Bike Club (MMBC) Miami Valley Mountain Bike Association (MVMBA)
Notes Comments? Bike shop you work for (if applicable)?
Street *
City *
State *
ZIP *
Country *