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Bicycle Registration
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Personal Information
First Name
Last Name
Street Number
Street Name
Apt.
City
State
Zip
Date of Birth
Contact Phone
Bicycle Information
Please enter information describing your bicycle. Access the diagram to see the most common places for the serial number.
Make
Model Name/Number
Bike Type
-- Select One --
BMX
General
Mountain
Racing
Recumbent
Speed
-- Select One --
1
3
10
15
18
20
21
24
27
30
Primary Color
Frame Size
-- Select One --
Small
Medium
Large
Retail Value
-- Select One --
> $500
< $500
Serial Number
Boy's/Girl's
-- Select One --
Boy's
Girl's
Kid's
Picture
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