Swift Current RCMP Bike Registry

Information About You

1

You Full Name

 *

You Full Name

2

Your Address

 *

Your Address

3

Your Telephone Number

 *

Your Telephone Number

4

Your Email Address

Your Email Address

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Information About Your Bike

5

Make

 *

Make

6

Model

 *

Model

7

Serial Number (Your serial number can be found on the bottom of the bike frame by turning the bike upside down)

 *

Serial Number (Your serial number can be found on the bottom of the bike frame by turning the bike upside down)

8

Colour

 *

Colour

9

Photo

Click button for uploading file Clear Photo Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

10

Purchase Receipt

Click button for uploading file Clear Purchase Receipt Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

11

Additional Information

Additional Information

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

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