Bike Borrowing Interest Form

first name

last name

email address

primary purpose for bike (you may select more than one):          getting to campus  recreation  visiting friends  shopping  independence

4 5 6 feet  1 2 3 4 5 6 7 8 9 10 11 inches- estimated height (this helps us know if we have a bike available that will be a good fit for you)

I have read the Bike Loan Program Policy  (we will be unable to process your request unless this is selected)

  Do you have any questions?