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Bicycle Registration Form

It is recommended that you register your bicycle with Parking and Transportation to ensure that we have the information on file in case your bicycle gets stolen or is collected at the end of the school year for resale. If your bicycle displays a permit, we will be able to contact you to confirm that you wish for your bike to be sold. Please fill out the form below to register for a bicycle permit.

Contact Information

Full Name:

Email Address:

8 digit University ID:
Campus Mailbox Address (i.e. : UR Box 9999, Thomas Hall):
Local Address for Commuters (Street):
City:
State:
ZIP Code: Cell Phone #:

Bicycle Description

Make: Model:
Serial Number:     
Type: Frame Style:
Frame Size: Number of Gears:
Frame Color: Value:
 Additional Description/Comments: