UNCW Bicycle Registration Form
Fill out this form and print it. Then bring it by the University Police Department to get your Registration Sticker
Last Name:
First Name:
Middle Name:
Date:
Student ID Number:
Local Phone Number:
Home Phone Number:
Cell Phone Number:
Home Address/Permanent Address
Local/On campus Address
Serial Number:
Make:
Model:
Color (Repainted?):
Fenders
Hand Brakes
Boys
Girls
Quick Release Wheels
Quick Release Seat
Date of Purchase:
Value:
Features/additional equipment such as Ubolt lock, water bottle