Bicycle Registration Form en Español ATTENTION: Due to COVID-19, Bicycle Registrations will not be processed until May 1, 2020. Thank you for your understanding. Use this form to register bicycles that you currently possess. In approximately one week, you'll receive a decal for each bicycle you register. To follow up on your registration or if you didn't receive your decal, email Lieutenant Heather Hurlock or call 703-228-4057. Owner InformationName First Last Address Street Address Address Line 2/Apartment Number City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number*Email Address Bicycle DescriptionBrand*ModelSerial #*To locate the serial number, turn your bike upside down and look for the engraved number between the pedals. Do not submit the number from your receipt. Color*Frame TypeSelectHybridMountainMen'sRecumbentWomen'sRacingRecumbentOtherWheel SizeNumber of SpeedsLightsYesNoBrakes Foot Hand In approximately one week, you will receive a decal for your bicycle. If you need to follow up regarding your registration or do not receive your decal, please contact Lieutenant Heather Hurlock at 703-228-4057.PhoneThis field is for validation purposes and should be left unchanged.