Please answer all listed questions as accurately as possible. All gathered information will be maintained by UIC Police and will assist in any efforts of identifying your property if stolen. Remember to always secure your bike in well lit and well traveled areas with a hardened steel lock. Secure your front as well as rear wheels to the frame when securing your bike as well. These tips may not guarantee that your bike wont be stolen but will make it less attractive to an offender. Enter a series of 9s for any unknown information.

* First Name

* Last Name

*

Male

Female

* Drivers liscense #

* Address 1

Address 2

* City

* State

* Zip

* Phone

* Alternate phone

* Email Address

Bike Information

* Serial #

* Manufacturer

* Model

* Style

* Color

* Name of shop purchased from

Please provide all info as requested. Incomplete registrations will be submitted yet it is imparative to provide all known information in the event your bike is stolen and recovered. any unknonw information should be replaced with a series of 9s, such as Driver's liscense 9999.

* Approximate Value $

* Indicates Response Required