Movability Individual Membership Application

NAME

First NameLast Name

EMAIL

example@example.com

PHONE NUMBER

Format: (000) 000-0000.

INSTAGRAM HANDLE (OPTIONAL)

YOUR EMPLOYER (OPTIONAL)

MAILING ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

INDIVIDUAL MEMBER BENEFITS

20% discount at Bird MicroMobility
50% discount on Lime scooters and bikes
FREE snap-on trunk bag with e-bike purchase at MOD Bikes ($150 value)
Free CapMetro Local Monthly Pass (value: $41.25)
Invitations to member-only events
"Commuter Concierge" Support (value: $270)
Subscription to Member Lane newsletter
Discounted entry and tables at Movability events
Free access to Carbon Cred
Inclusion in the member-only digital forum on LinkedIn
Access to member-only resources
Recognition as a member on Movabilitytx.org
First access to annual Commuter Survey results
Support Movability's mission

*This membership only refers to individuals looking for individual services. Applicants looking for benefits for businesses and non-profits should apply for the membership level that aligns with their number of employees.

HOW DID YOU HEAR ABOUT MOVABILITY?

Other

IF A COLLEAGUE OR FRIEND REFERRED YOU, PLEASE LET US KNOW THEIR NAME SO WE CAN THANK THEM!

TELL US A LITTLE MORE ABOUT WHY YOU ARE JOINING MOVABILITY (SELECT ALL THAT APPLY)

If you selected OTHER, please explain.

Payment Options

HOW WOULD YOU LIKE TO PAY FOR YOUR MEMBERSHIP? PLEASE BE SURE TO CHECK THE BOX INDICATING YOU ARE NOT A ROBOT AND THEN HIT SUBMIT. DO NOT CLOSE THE WEBPAGE UNTIL YOU SEE A THANK YOU PAGE CONFIRMING YOUR APPLICATION HAS BEEN SUBMITTED OR YOUR INFORMATION WILL BE LOST. THANK YOU!

PAYMENT INFORMATION

Individual Membership - Annual Billing Option

$100.00

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Credit Card Processing Fee:

Total:

Please verify that you are human

PAYMENT INFORMATION*

PAYMENT INFORMATION