Bicycle Product Suppliers Association

740 34th St., Boulder, CO 80303
Phone: 303-442-2466
 
Name:
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Membership Application

Please fill in the information below to register on line. An invoice will be sent upon approval of your application.

Find the correct membership category for your company as listed below and fill out the information requested:

Supplier Members: Any firm, a majority of sales of which is bicycles and/or bicycle parts and accessories to Independent Bicycle Dealers, shall be eligible to be a Supplier Member. For the purpose of the BPSA By-laws, "Independent Bicycle Dealer" is defined in accordance with the By-laws of the National Bicycle Dealer Association as entities whose gross sales of bicycles and bicycle related parts, accessories and service represent at least 50% of their business.

Vendor Members: Any individual or firm which (1) is not eligible for Supplier Membership, (2) which is engaged in the manufacture or which represents a manufacturer of bicycle parts or accessories and (3) which sells such products to Supplier Members, is eligible to become a Vendor Member or the Association.

Affiliate Members: Any individual or firm which (1) is not eligible for Supplier or Vendor Membership, and (2) which supply bicycle product and/or services to retailers.

Membership Category*
Firm Name*
Street Address*
City, State, Zip*
Telephone Number*
Fax Number*
E-Mail Address*
Website Address*
Official Representative*
Alternate Representative
Applicant markets/sells/supplies the following bicycles, bicycle parts and accessories to independent bicycle dealers under these brands:*
I certify that a majority (over 50%) or the sales of the applicant company or division is bicycles and/or parts and accessories to Independent Bicycle Dealers (as defined in accordance with the by-laws of the National Bicycle Dealers Association.*
Name*
Date*

Note: * indicates required information.