Family Bike Collective

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Thank you for you're interest in Spokes' Family Bike Collective. Please take a moment to tell us a little about yourself.

If you wish to return to our site without filling this survey out click this link:
http://www.familybikecollective.org
or email us here: information@familybikecollective.org

Otherwise use this form to be connected to our services.

The information we are collecting is private. We will only contact you if you check the in the form.
Only the questions with RED Asterix are mandatory and the data is used to best plan how to serve you best.

First name *

Last name

email address *

Phone Number *

XXX-XXX-XXXX

zip code *

this is only for mapping purposes.

I am interested in: *

Premium Membership/ Pre-purchasing a bike

Membership

Gifting a membership (to/for someone else)

Donating to the Family Bike Collective movement

Investing in the business through Kiva

Connecting my Organization or Business as sponsor or partner

Other:

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