University of New Mexico
Bicycle Registration
Please complete the form below to register your bicycle with the UNM Police Department.  This registration is important to help identify you as the owner and in returning your bicycle if it is recovered.

REGISTRATION INFORMATION
(Type your name as it should appear on
certificates of completion)
First Name: *

Last Name: *

CURRENT ADDRESS (Include Apt #)
Address 1: *

Include Dorm Name if on Campus

City: *

State: *

Zip code: *

PERMANENT ADDRESS
Same as current address

Address 1: *

Address 2:

City:

State:

Zip code:

BICYCLE INFORMATION
Men's  Women's
Manufacturer:

Model:

Serial Number:

Size

Gears

Color(s)

Approximate Value:

Other Descriptive Information:


Attach Photo of Bicycle (if available)

CONTACT INFORMATION
Phone Number: (###-###-#### - ext) *

Mobile Phone: (###-###-####)

E-mail: *

PERSONAL INFORMATION
UNM ID #: *

Driver's License #: *

Driver's License State: *