Income-Eligible Membership Interest Form
We are working to create a virtual enrollment center. If you are interested in an Income-Eligible Bluebikes membership, please fill out this form and a member of our staff will reach out to you. If you have an EBT card, you can sign up for a membership online by visiting
Best way to contact you:
Please leave a phone number or email address we can reach you at:
What membership option are you interested in?
$5 - monthly membership. Includes unlimited 60-minute trips
$50 - annual membership. Includes unlimited 60-minute trips
Never submit passwords through Google Forms.
This form was created inside of City of Boston.