Family Bike Collective
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.
* Required
First name
*
Your answer
Last name
Your answer
email address
*
Your answer
Phone Number
*
XXX-XXX-XXXX
Your answer
zip code
*
this is only for mapping purposes.
Your answer
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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