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Campus Police

Student Bicycle Registration Form

Student Bicycle Registration Form

Registration Type

 
 

Personal Information

 
Last Name:     First Name:  
Middle Initial:     Winthrop University Id #:  
Date of Birth:      Cell Phone #:  
Driver's License #:     State of Issue:  
Email Address:     Gender:  
     

Local Address

 
Residence Hall:     Residence Hall Room #:  
Address (Name & Number):     City:  
State:     Zip Code:  
Home Phone #:        
     

Permanent Address

 
Address (Name & Number):     City:  
State:     Zip Code:  
Home Phone #:    
     

Current Bicycle Information

Locate the Serial Number for your Bicycle (pdf -  2.04 MB) 

 
Make:     Model:  
Serial #:     Color:  
Category:    
Miscellaneous Description:    
 

Prior Property Registration (If Applicable)

 
Municipality:     State:  
Decal or Engraved Number:     Expiration Date: