Bike Share for All Member Signup
Please complete all required fields and upload an image or scan of your CalFresh card, MUNI Lifeline pass, or PG&E CARE utility bill to register for your membership.
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First Name *

 
Last Name *

 
Email Address *

 
Phone Number *

 
Street Address *

 
City *

 
State *

 
Zip *

 
To which gender identity do you most identify?

This is an optional demographic question.

 
What is your ethnicity?

This is an optional demographic question.

 
What is your household income?


 
I am currently enrolled in (choose one): *




 
Your CalFresh card should look like this:

 
Please upload an image or scan of your CalFresh card

 
Your MUNI Lifeline pass should look like this:

 
Please upload an image or scan of your MUNI Lifeline Pass

 
Your PG&E bill should look like this (proof of CARE enrollment highlighted in red):

 
Please upload an image or scan of your PG&E utility bill

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