

Mountain Bike Committee
Membership Application
Name: _______________________________________________________
Address: ____________________________________________________
____________________________________________________________
Phone: ______________________________________________________
Email: ______________________________________________________
Do you ride Mountain Bikes? ____ No ____ Beginner ____ Intermediate ____ Experienced
Are you an Angeles Chapter outings leader? ____ No ____ O ____ I ____ M ____ E
Are you a conservation activist? ____ No ____ Beginner ____ Intermediate ____ Experienced
Are you interested in ____ Advocacy ____ Conservation ____ Recreation
Annual Membership: $10
Please make checks payable to the MBC Sierra Club and mail it to:
Randall Danta - 17561 Medford Ave, Tustin CA 92780.