Form

First name*

Last name*

Email*

Date of birth

Street address*

City*

State/Region*

Postal code*

Phone number*

Notes about general membership privileges:
Members get access to the ride share platform 15 miles around downtown Pittsburgh, PA and discounts on all upcoming programs and events.

Are you interested in becoming a driver? *

Are you 21 years old with a good driving record and a vehicle less than 10 years old? We'd love to have you drive. Email will be sent out a a later date requesting driver and vehicle information. YOU DON"T HAVE TO BE A DRIVER TO BE A RIDER.

General membership - Annual fee: $25.00

Duration of membership

This first year membership is from the start of ride share service

Club memberships are renewed annually.

Periwinkle Ladies Travel Club - Community Rules to ensure safe and comfortable rides for all members and member-drivers.

1. Members are the only ones who can access the app and request rides.

2. Members are allowed guests (male or female) along for the ride, but the member has to be present at all times.

3. To ensure the safety and comfort of both rider and driver there is a zero tolerance policy for inappropriate behavior or harassment. There will be more information on how to report before launch day.

4. All members of the Periwinkle Ladies Travel Club have joined the Sisterhood of Safety and pledge to be kind and courteous to their fellow members.

5. After you submit your application you can download the mobile app Periwinkle LTC and create an account using the same name, email address and phone number. All accounts on the mobile app show up as blocked until membership is verified and the member is activated.

Can you adhere to the following rules above?

Upload front of State ID or Driver's Licence*

If someone referred you to Periwinkle write their name below and you will both get an entry for the prize, if no one referred you we will add your name when you become a member. *** You can also write anything else you want us to know in this space.

If your membership is not accepted your membership fee will be returned in full. Membership is limited based on the number of drivers available so we can accomodate reqested rides. If you are accepted but on the wait list you'll have the option of remaining on the wait list or recieving your fee back and reapplying again at a later date.

Thank you so much for joining this loving community of safety, comfort, and security.