Forms Manager

BICYCLE REGISTRATION FORM

BICYCLE REGISTRATION - it's quick, easy, inexpensive and - a good idea!!! You can register your bicycle (1) in person, (2) via phone, or (3) by completing and submitting the following form.

OPTIONAL - If you desire, you may also register your bicycle with the National Bike Registry. Use the link provided on the Bicycle Safety & Registration webpage to access that service. An additional (higher) fee is charged for participation.

Please complete as many fields as you possibly can. Whether registering in person, via phone or using this form, the following information is "required" unless labelled otherwise (optional):

FIRST NAME

LAST NAME

CAMPUS ADDRESS (or local address)

HOME PHONE (optional) but very helpful

CELL PHONE (optional) but very helpful

E-MAIL ADDRESS

BANNER ID NUMBER

MAKE/BRAND (enter UNKNOWN, if not known)

MODEL (enter UNKNOWN, if not known)

STYLE e.g. BMX, racer, mountain bike, unicycle, etc.

TIRE SIZE (optional) e.g. 20 inch, 26 inch, etc.

FRAME SIZE (optional) e.g. 21 inch, 20 inch, etc.

NUMBER OF SPEEDS e.g. 10-speed, 18-speed, single speed, etc.

COLOR(S) "main" or dominant color(s)

DISTINGUISHING CHARACTERISTICS (optional) special equipment, colors, etc.

SERIAL NUMBER

VALUE (approximate)