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Bicycle Registration

Submit this form to register a bicycle. You will be issued a registration sticker that should be affixed to the frame of the bicycle. If bike is lost or stolen, report it to police immediately. When bike is sold, report name and address of new owner to police.

Note: Entries are required for all items.

Owner's real name:
Street Address:
City, State, ZIP:
Phone:	(Include area code)
Yours or a parent's e-mail address: (Enter a valid e-mail address below if you have one. If you don't, enter "none" without quotes)

Bicycle serial no.
Color of frame:
Frame type:	Boys Girls
Make:
Model:
Type of bike (i.e. Mountain bike, ten speed...):

Frame size:	Wheel Size:

AUTHORIZATION: By clicking "submit" on this form I hereby authorize the action requested and/or police use of the information supplied. I certify that all information as entered is true and correct. I am aware that by submitting this form, my Internet IP address will become available to the Wethersfield Police Department. This IP address can and will be traced if this form is submitted unlawfully.

IMPORTANT: When you submit this form a confirmation page will be displayed. To keep a copy of your submission, print the confirmation page. After your information is confirmed, you may terminate your connection to this site.