BIKE BANK APPLICATION


Bike Bank Application

Recipient Information:

Name:

Enter name

Address:

Enter address

Contact Phone #:

Enter number

Email Address:

Enter email

Bike Size Requested: (Rider height guideline)

Size:

     Gender:

     Gender:

        Bike Serial #

Additional Information:

If requesting more than one Bike, please rank order your request.  The Bike Bank has a limited number of bikes and it may not be possible to fulfill all requests:

OVCATA Contact:

Email:          info@ovcata.ca

Website:     Ottawa Valley Cycling and Active Transportation Alliance (ovcata.ca)

Facebook: (20+) Ottawa Valley Cycling and Active Transportation Alliance | Facebook

Twitter:        Compose new Tweet / Twitter