Bike Rack Agreement
Thank you for your interest in using a bike rack with your vanpool vehicle. Please provide the requested information in the fields below to get started.
Name:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Van #
*
GIN
*
What size bike rack are you requesting? All bike racks come with a lock.
*
2-bike
4-bike
5-bike
crossbar adapter
Please list any additional users of the bike rack.
*
My signature below signifies that:
I have received the Pierce Transit Bike Rack Agreement.
I have read, understand, and agree to abide by all terms of the Agreement.
Signature:
*
This form will not be accepted without a signature.
Clear
Date:
*
-
Month
-
Day
Year
Date
Submit
For Official Use Only
Rack/Lock #
Equipment Return Date:
-
Month
-
Day
Year
Date
Pierce Transit Initials
Should be Empty: