NIC Bike Registration

Owner Information
First name
Last name
Student/Employee ID #
Address line 1
Address line 2
City
State
Zip
Phone number
Alternative phone number
Email
Bike Information
Make
Model
Serial number
Bike color(s)
Bike type	If other, please describe
Identifiable markings
Wheel size	Tire size is usually printed on the side wall of the tire expressed as diameter x width
Frame size
Style	Style Men's Women's
Number of speeds
Extra features (Check all that apply)	Extra features - check all that apply Handbrakes Headlight Taillight Relector
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