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2. Bike Registration

   Please complete the form below and hit submit. Each box requires an answer.  You will receive an email confirmation with your bike license number.

   The bike license sticker will be mailed to the address you entered on the form.  If you do not have an address to receive mail, you can stop by the Ashland Police Department in person to receive a bike license.  

4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
15. Bike Brand*
16. Bike Model*
18. Bike Serial Number*
19. Bike Primary Color*
20. Bike Trim Color*
22. Wheel Size*
23. Speeds*
24. Bike Light*

    1. Yes
    2. No
25. Bike Fenders*

    1. Yes
    2. No
27. Bike Seat Type*

    1. Banana
    2. Gel
    3. Other
    4. Padded
    5. Standard
28. Bike Tire Type*

    1. Mountain
    2. Other
    3. Road
29. Bike Frame Type*

    1. Mountain Bike
    2. Cruiser
    3. Racing
    4. Boy's Bike
    5. Girl's Bike
    6. Electric
    7. Other
31. Bicycle Description*
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field