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Bike Program

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Name:

Email Address:

Phone:

Hometown:

In which residence hall will you be living on campus?

If you win a bike, will you agree not to bring a car to campus?

If you win a bike, will you agree not to bring a car to campus?

Yes

No

Do you currently own a bike?

Do you currently own a bike?

Yes

No

If yes ...

What type of bike is it?

What type of bike is it?

What type of bike is it?

Enter other…

Do you plan to bring it to campus?

Do you plan to bring it to campus?

Yes

No

N/A

If you win,do you agree to complete the required 2-one hour clinics during first two weeks of school in order to receive the bike?

If you win,do you agree to complete the required 2-one hour clinics during first two weeks of school in order to receive the bike?

Yes

No

If you win, will you agree to report your mileage biked at the end of each semester?

If you win, will you agree to report your mileage biked at the end of each semester?

Yes

No

Why are you interested in this program?

1420 Austin Bluffs Pkwy
Colorado Springs, CO
USA 80918

Phone: 719-255-8227

Toll-free: 1-800-990-8227

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