Bike Registration Form

Last Name:*

First Name:*

Mailing Address:

City:

State:

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Zip:

Phone Number*

Email:*

Serial Number of Bicycle:*

Make:

Model:

Size:

XS S M L XL

Gender:

Men's Women's Boy's Girl's

Primary Colors

Other Distinguishing
Marks or Features:

Bike Photo

(GIF, JPG, JPEG, PNG, DOC, DOCX, XLS, XLSX, TXT)

If your bicycle has already been stolen, please do not fill out this form. If you have additional information, please call the Frederick Police Department 301-600-2100 and file a report.

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(please click "Submit" only once)