Unadilla Township Police Department

122 S. Main St. ● P.O. Box 264 ● Gregory, MI  48137

Emergency:  911 ● Business Office:  (734) 498-2325 ● Central Dispatch:  (517) 546-9111● Fax:  (734) 498-3021

Bicycle Registration

If you are a resident of Unadilla Township, you may use this form to supply us with information regarding your bicycle (complete and submit one form for each bicycle). This information will be maintained on file and will assist the police department in the event that your bicycle is ever stolen.

Record You Bicycle Information Below:

First Name: 

 

Last Name: 

 

Serial Number: 

 

Email Address: 

 

Telephone Number (including area code):

  

Address (line 1):

  

Address (line 2):

  

City:

  

Zip Code:

  

Date of Birth:

  

Brand Name:

  

Model Name:

  

Model Number:

  

Color:

  

Rim Color:

  

Speed:

  

Tire Size:

  

Brakes:

   Hand Foot

Fenders:

   Yes   No

Trim Color:

  

Type:

   Boys  Girls

Miscellaneous (check all that apply):

   Front Basket  Rear Basket
    Water Bottle  Travel Bag

Other Details:

  

After completing form, and before submitting, print yourself a copy of registration record for your files.

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