Bicycle Registration Form

First Name:
Middle Name:
Last Name:
Address:
City, State Zip:
Phone:

Bicycle Description
Frame No:		Wheel Size:
Make:		Frame Size:
Speed:		Frame Color:
Type:		Fender Color:
Tire Type:		Trim Color:
Brake Type:		Condition:
Lights:
Other equipment or identifying marks:
Durango Police Department Attention: Records Unit 990 East 2nd Avenue Durango, CO 81301
SELECT ONE
This form can be submitted via email to the City		This form can be submitted to a PDF that you may print and mail to the city Adobe Acrobat is Required