Bike Registration Form

TEMPLE UNIVERSITY POLICE DEPARTMENT

BICYCLE REGISTRATION FORM

Last Name:

First Name:

Initial:

Your Temple ID Number:

I reside ...

 On Campus 

 Off Campus 

Residence Hall:

1300 Residence Hall1940 Residence HallBeech International VillageElmira JeffriesJames S. WhiteJohnsonHardwickKardonMorgan HallOxford VillagePeabody HallPodiatry Residence HallSydenhan CommonsTemple TowersThe EdgeUniversity Village

Room Number:

Off Campus Address:

State:

AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARIRQSCSDTNTXUTVAVTWAWIWVWY

City:

Zip:

Phone Number:

Email (TU Only):

Make of Bicycle:

Model:

Type:

RoadTouringRandonneur/AudaxHybridTrackCyclo-crossFreightBMXMoutainArtistic

Color:

Frame Size (Inches):

12.012.513.013.514.014.515.015.516.016.517.017.518.018.519.019.520.020.521.021.522.022.523.023.524.024.525.025.526.026.527.027.528.0

Serial Number:

Dollar Value ($):

< $100$100-199$200-299$300-399$400-499$500-599$600-699$700-799$800-899$900-999$1000-1249$1250-1499$1500-1749$1750-1999> $2000

Accessories/Unique Characteristics:

Temple University Police Department strongly recommends that you attach a picture of your bicycle. We accept JPG, PNG, GIF, BMP, TIF.

Attach Photo:

--------- Attached Files ---------

After you complete the on line registration, please bring your TUid and your bike to any of our Campus Safety Services locations to complete the process.

Campus Safety Services locations:

Main Headquarters: 1101 W. Montgomery Avenue

Center Station: Beasley and Polett Walks

Patrol Headquarters: 1801 North 11th Street

Registration Number:

Enter code: