Bicycle Registration with the SPD
BICYCLE APPLICATION - Section I
I hereby make application for the registration of my bicycle in accordance with the provisions of Chapter 710, Acts of 1941, of the Massachusetts General Laws.
Full Name
*
Phone Number
*
-
Area Code
Phone Number
Somerville Home Address
*
Street Address
Unit/Apartment #
City
State / Province
Postal / Zip Code
Email Address
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Emergency Contact
Phone Number
-
Area Code
Phone Number
Make and Model of Bicycle
*
Color of Bicycle
*
Serial Number
*
Identifying Marks or Accessories
*
0/125
Signature of Applicant:
Upload a Picture of the Bicycle
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