online bicycle registration form

 

To register your bicycle with the TCU Police Department, complete as much of the form as possible. Use as many fields as may apply to describe your bike. IMPORTANT: Before clicking on "Submit", please print this form for your records. Click the "Submit" button when the form has been completed to your satisfaction. You will receive a confirmation page from the TCU Police Department and may wish to print out or otherwise note the contact number for the program administrator, should you need to change bicycle information.

personal information

Student ID Number:  (Enter your Student ID number)

Name:          Last        First      MI   

Address:                 (Number and Street)      or

Building         Room             Home phone:        work phone:   

               City:             State:           Zip:        E-mail:   


bicycle information

Brand/Model:                   Type:        Style (Male/Female):  

Color:                      (Ex: silver, silver and black, etc.)   Serial No.   

Owner-applied markings or numbers, Damage:

Wheel size:       Frame size:        Specialty bike:   

Accessories: (After-market items)                                       Date of purchase:             Value:   

                       


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copyright Štcupd 2004. all rights reserved
 
revised: 08/14/07