Saturday, March 15, 2008

Membership Form

Please join us today so that we can come to your community. We are working with school districts and community governments to bring more than $6M in Safe Routes to School funding to Berks County communities. We want to make our streets safer for all users -- specifically for children in school zones. Together with PANA and PennDOT, we will make our streets safer for kids. Join us in that mission. Complete the following membership form and send in your donation today.

PO Box 6795
Wyomissing, PA 19610

Yes, I want to help make our region the best for walking and bicycling! Please enroll me as a member.

Title _______________________________________
Name ______________________________________
Address _____________________________________
City _____________ State _____ Zip Code __________
Phone (day) ____________ (evening) _______________
Cell __________________ Fax ___________________
E-mail ______________________________________
Organization: _________________________________
Organizations contact information: __________________

I'd like to contribute:
______$500 _____$100 _____$35 _____$ Other
_____ Check enclosed (Make checks payable to WalkBikeBerks.)
*501(c)(3) nonprofit tax-exempt status is pending approval.
Members receive invitations to special events, access to WalkBikeBerks listserves and e-mail action alerts!
Please return to: WalkBikeBerks c/o Jeremy Slonaker, PO Box 6795, Wyomissing, PA 19610

If you have any questions, please feel free to contact us at
We need your time, energy and talent. Volunteer Today!

_____ Yes, I would like more information about volunteering with WalkBikeBerks.

HOW CAN WE HELP YOU? (Please take a moment tell us where and how we can work to make the roads – and your ride – better for you:

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