1 . Enter profile information

* Required
Username:
*
Must be at least 5 alphanumeric characters long.
(letters, numbers, or underscores)
Password:
*
Confirm Password:
*
Must be at least 5 characters long.
First Name:
*
Last Name:
*
Email:
*
Main Number (Mobile preferred):
*
Mobile phone preferred so that we can send important text messages. WE WILL NOT SELL YOUR NUMBER OR USE IT FOR ANY OTHER PURPOSE. WE KNOW HOW ANNOYING THAT IS.
Secondary Phone:
Preferred Mailing Address:
Mailing Address 1:
*
Mailing Address 2:
City:
*
State:
*
Zip:
*
Security Question:
*
Answer:
*

2 . Choose membership level *

Membership starts when you checkout a bike for the first time.

 

Discount annual memberships are available for employees of Salt Lake City, GREENbike sponsors, and 501 (c) (3) nonprofits. Send an e-mail to info@greenbikeslc.org from your work e-mail and we will send you a promotion code.
Promotion Code:
(Price/discount will be reflected on the next page)

3 . Enter credit card information

Name on Credit Card:
*
The name entered here must EXACTLY match the name as it appears on your credit card in order to check out a bike with your credit card at a Bike Share Station.
Card Number:
*
To check out a bike with your credit card at a Bike Share Station, you must use the credit card associated with your membership.
Credit cards accepted:
VISA Mastercard American Express Discover
Expiration:
*
*
CVC:

4 . Contact preferences & Terms and Conditions

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