Contact El Tour Bikes for Change
If you have an interest in applying for bicycles, helmets, lights and locks for area youth, let us know.  Bicycles will need to be picked up at an arranged date/time in mid-October.  You will be contacted with details on pick-ups. Organizations that are selected will be expected to help promote the program and fundraising campaigns for El Tour's Bike for Change. 
Email *
Name *
Non-Profit Organization
Email *
Phone number (If you want us to call you)
Number of Bicycles your organization is attempting to obtain.  Please also give a breakdown on boys/girls and the ages of these youth so we can attempt to fit them properly.  Bicycle sizes are Boys and Girl's sizes 16", 20", 24" and 26".  Helmets included with each bike.  Lights and locks included with bikes over 24".
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Perimeter Bicycling Association of America.

Does this form look suspicious? Report