Town of Menasha Police Department,

  Menasha Police Department,

Neenah Police Department

Bicycle Registration Form

Your full name:  

Address:

City/Town:        State:            Post./Zip Code:

Sex:     M       F                    

Race:     Indian    Asian   Black   White    Unknown 

Phone number (with area code):

Date of birth:

E-mail address: (Optional) 

BICYCLE INFORMATION

MAKE:  

MODEL:  

COLOR:  

SERIAL #:  

WHEEL SIZE: (10"-27"):  

FRAME:      BOYS     GIRLS    LADIES    MENS    BMX    MNT. BIKE  

YOUR BICYCLE REGISTRATION STICKER WILL BE SENT TO YOUR HOME ADDRESS WITHIN 5 BUSINESS DAYS.

 

   

 

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