BIKETOWN for All Interest Form
BIKETOWN for All is a reduced-cost BIKETOWN membership program for Portlanders living on low incomes. Individuals wishing to sign up are required to attend a three-hour workshop that covers how BIKETOWN works and includes a group ride that teaches essential skills for riding a bike in the city. Workshop attendees will also receive bike safety education materials and a free bike helmet.

Please fill out this form if you are an individual interested in learning about upcoming workshops, or if you are an organization interested in becoming affiliated with the BIKETOWN for All program. See our BIKETOWN for All website to learn more about the program at www.BIKETOWNforAll.org.

Are you...
Organization:
Are you a member of an affordable housing community, social service agency, or nonprofit organization? Please list them here.
Your answer
Name:
Your answer
Street Address:
If no street address, you can enter N/A
Your answer
City:
Your answer
Zip Code:
If no zip code, you can enter N/A
Your answer
Telephone:
If no telephone or email, please let us know how we can reach you.
Your answer
E-mail:
If no telephone or email, please let us know how we can reach you.
Your answer
Do you have a space to host a workshop?
The space would need to fit 12 people and a BIKETOWN bike.
What is your availability to host or attend a 3 hour workshop?
Your answer
If you are an individual, what is your estimated monthly income?
Your answer
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