Bicycle Registration Form
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REGISTRATION TAG #
__________________ Date:
______________________
(To be filled in by
staff)
Owner Name: ________________________________
Phone #:
______________________
Description of Bicycle:
Make: ___________________________________ Model: ________________________
Serial Number: __________________________________________________________________
Owner Applied Number: __________________________________________________________
Type: _______________________ Wheel Size: _____________________
Speeds: __________________________________ Frame Color: ______________________
Condition/Other: ________________________________________________________________