JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Get your free Mirrycle mirror from Walk Bike Washtenaw!*
There is no simpler way to improve the safety and comfort of bicycling than with a mirror. We can meet you (or just your bike!) anywhere within Ann Arbor city limits to get your mirror installed.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please enter your full name:
*
Your answer
What is your preferred contact method?
*
Email
Text
Phone
Other:
Please provide your contact information:
*
Your answer
*NOTICE*
If you don't hear back from us, please check your spam folder or contact us at info@wbwc.org.
If you would like to be added to the Walk Bike Washtenaw email list, please provide your email below:
Your answer
*see limitations below:
Mirrors are designed for typical flat or riser handlebar types. We can sometimes accommodate other bar types, but we cannot guarantee mirrors will work on every bicycle.
Mirrors will be installed by Walk Bike Washtenaw. We cannot just give you the mirror.
Mirrors mount inside the handlebar and mirror installation may require trimming the end of your grip.
Ages 18 and up.
While supplies last.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Walk Bike Washtenaw.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report