Chico Bike Permit Application

Applicant Information

Do you want to register or license your bicycle? Register License ($12 fee)

Bike Owner's Name*
Address*
City* State* Zip*

Phone* Email*

Bicycle Information

Serial #* Manufacturer*
Model Wheel Size Frame Type Frame Size
Main Frame Color* Secondary Frame Color
Bicycle Type Additional bicycle description

Certification/Signature

By submitting this application, I Required, declare under penalty of perjury, under the laws of the State of California, that the above application is true and correct to the best of my knowledge.

Executed the .

Please sign your name below, using the mouse or your touch screen enabled device. To use mouse, left click and hold while dragging the mouse over the signature line.