SJ Bike Clinic Appointment Request
Fill out this form to request an appointment at San Jose Bike Clinic. Be sure to provide at least your email address or phone number for us to contact you for confirmation.

We'll get back to you as soon as we can to confirm we can meet you at the requested day and time. Please be patient as we are a volunteer-run operation and will not be able to accommodate all requests.

Name
Your answer
Email address
Your answer
Phone number
Your answer
Describe your bicycle issue
Your answer
Date/time of requested appointment
Note that we cannot accommodate appointments outside of noon to 8 pm, and without at least 24 hour notice.
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/
DD
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Time
:
Anything else we should know?
Your answer
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