Bicycle Registration Form

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Owner Information:

Full Name

Phone Number

Address

City

State List

Zip Code

Bicycle Information

Make

Model

SerialThe serial number identifies your bicycle in the event that it is stolen. Look for a number that is stamped into the metal of the bicycle frame. Common locations are on the underside of the frame between the pedals, or on the tube between the hand bars.

Description of Bicycle

Style

Boys
Girls
Adult
Child

Type

Mountain Bike
Street Bike
Beach Cruiser
Other (Please Specify Below)

Specify

Color 1

Color 2

Number of Speeds

Wheel Size

Extra IdentifiersDescriptions or accessories (Example: Decals, Pegs, Basket, Water Bottle Holder, Etc.:

This Information on this report will assist the Delanco Township Police Department in identifying your bicycle in the event that is was lost or stolen.