Boulder B-cycle Free Annual Membership Eligibility Survey
In partnership with the CU Boulder Environmental Center, Boulder B-cycle is working to reduce travel by car in and around Boulder. The purpose of this brief survey is to determine your eligibility for a free Boulder B-cycle Republic Rider [annual] pass as part of this campaign. Please answer the following questions about your commuting habits as honestly as possible to receive your free pass.

NOTE: If you are eligible, you will receive a code near the end of the survey to redeem for a free annual membership. DO NOT click "Next" until you have recorded this code.

Are you currently a full-time student at the University of Colorado Boulder? *
Never submit passwords through Google Forms.
This form was created inside of Boulder B-cycle. Report Abuse - Terms of Service - Additional Terms