Contact information
Specialty Bike Adoption Form
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Name *
Email *
Address *
Phone number
How will having this bike assist you in your daily life? *
Which Bike are you interested in? *
Do you have a secure place to store your bike?
And Charge it if required?
 *
Do you commit to using it and NOT reselling it *
Do you commit that if the bike is no longer being used, You will return it to Steve's Recycle Bicycles along with any supplied extras like battery and charger? *
Due to the expensive nature of these bikes do you commit to a minimum donation of $200 to Steve's Recycle Bicycles, Payable only after application is accepted. Select payment method below to confirm. *
Required
I the undersigned agree that the above questions have been answered truthfully. I also acknowledge the the bicycle has been registered thru bicycle trax, by Steve's Recycle Bicycles and may be recovered by local authorities if this contract is breached. *
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