Ride Illinois Membership Form

Redirecting you to a secure payment page…

Visit our website
{{profilePhoto.url?'':accountBasicInfo}}
- MY PROFILE
- Dashboard
- Log out

Ride Illinois Membership

Ride Illinois' mission is to make Illinois better through biking. As we work to make that happen, it is important that we represent the concerns of all Illinoisans and the challenges they face when trying to ride a bike safely. Your responses will remain confidential and will help us identify and implement programs in line with our mission.

Include a submember in your membership registration

Student Member ($10)

Individual Member ($35)

Household Member ($60)

Century Member ($100)

Advocate Member ($200)

Benefactor Member ($300)

Individual Member (Pay what you can)

I would like to automatically renew my membership

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Student Thank You Gift

Individual Thank You Gift

Household Thank You Gift

Century Thank You Gift

Advocate Thank You Gift

Benefactor Thank You Gift

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

First Name *

Last Name *

Submit as a company

Company Name

Email *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Invited by

If someone invited you to join Ride Illinois, enter their name here

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

In what year were you born?

What is your gender?

Which most accurately describes you?

What is your race/ethnicity? Check all that apply.

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

I prefer not to answer

Which most accurately describes you?

What is your annual household income?

What is the highest level of education you have completed?

Do you have a disability?

Data Privacy & Consent

We intend to retain your trust in our organization. Click the link below to read our Privacy Policy.

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Include a submember

{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add {{subMemberDisplayName}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} ({{subMemberDisplayName}})

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Frequency selected: {{recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card

ACH

PayPal

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

You will be charged

Click this button to make your payment via PayPal.

Note: You will be redirected here once your payment is processed by PayPal.

You will now be taken to PayPal to complete your transaction. Please wait.

Please note: since you are in the testing mode, this Paypal button will direct you to Paypal testing site (Paypal Sandbox) to simulate the payment process. All information is fictitious in Paypal Sandbox and there will be no real transactions. For your convenience, you can use our pre-registered testing account [jhuang@dev.neoncrm.com/Watercube2]. To enter test mode, Paypal Sandbox may need you to log onto Paypal Developer Central first. Please use [jhuang@dev.neoncrm.com/Watercube2] to login.

Amount:

{{formatAmount(totalAmount)}} USD

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.