Bicycle Registration Form

To register your bicycle with the USA Police Department, fill in the following registration form and press the Submit button. This will submit the application to the USA Police Department. If you do not receive confirmation within ten working days, please contact the USA Police Department at (251) 460-6611.

Full Name:
     
Student Number:
     
Campus Address:
Delta 0, Room 0, etc.
    
Permanent Phone:
     
Campus/Local Phone:
     
Email Address :
     
What is your status?
     
Bicycle Information
    
Make:
    
Model:
     
Color (1):
      
Color (2):
     
Serial Number:
 (must be included)
      
Having problems locating the serial number? Click here.
     
Markings, Identification, Custom Accessories

      
Wheel Size:
     
Frame Size:
     
Number of Speeds:
    
Frame Type:
    
 

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University of South Alabama   -  Mobile, AL 36688-0002 / (251) 460-6611
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Last date changed: August 22, 2011 10:45 AM
URL: http://www.southalabama.edu/police/bicycleregistrationform.html