NABSA New Member Registration
Please fill out this form to become a member of the North American Bikeshare Association.

Questions? Contact executivedirector@nabsa.net.

Thank you for becoming a member of NABSA!

Name of Member Organization or Business *
Your answer
Address of Organization Headquarters (please include city and zip code) *
Your answer
Name of Representative to NABSA *
Your answer
Title of Representative to NABSA *
Your answer
Email of Representative to NABSA *
Your answer
Phone Number of Representative to NABSA *
Your answer
Your Organization's Primary Bikeshare Industry Activities (Check all that apply) *
Required
List systems for which your organization provides these services. *
Your answer
Please provide emails for other people in your organization who will be added to the NABSA mailing list and members listserv.
Your answer
Organization Type *
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