B-cycle For All Eligibility Form
The B-cycle For All program allows qualifying low-income Austin residents to buy an annual membership (normally $80) for just $5!

Please fill out this form so we may determine your eligibility. After submitting the form, an Austin B-cycle representative will contact you via email with further information. If you have questions, you may call customer service at 512-954-1665 or visit our website at http://www.austinbcycle.com.

There are a limited number of $5 memberships available. Once the funding for the $5 memberships expires, Austin B-cycle will continue to offer a 50% discount on annual memberships.

Funding for this program is provided by the Better Bike Share Partnership and Downtown Austin Alliance. The Better Bike Share Partnership is a JPB Foundation-funded collaboration between the City of Philadelphia, Bicycle Coalition of Greater Philadelphia, the National Association of City Transportation Officials (NACTO) and the PeopleForBikes Foundation to build equitable and replicable bike share systems.

First Name
Your answer
Last Name
Your answer
Street Address
Your answer
Zip
Your answer
Phone number
Your answer
Email address
Your answer
Annual household income
Are you a full time student?
How did you hear about B-cycle For All?
Your answer
Payment Method
Qualifying participants can purchase their membership with a credit card (online) or with cash (at our office). We will use this answer to determine how to process your request.
Do you work at a downtown business?
If not, write no; if yes, please indicate which one
Your answer
Demographics
The following questions will not affect your eligibility
Date of Birth
MM
/
DD
/
YYYY
Race
Languages spoken proficiently
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