Please complete this form to receive your registration sticker. We appreciate your commitment to a healthy lifestyle and hope you enjoy the many benefits of bicycling, including lower gas and maintenance costs and a cleaner environment. Remember: for your safety and the safety of others, please wear a helmet when bicycling and obey all traffic laws.Cyclist's Description Legal Name * Duke Unique ID * Full Local Address * Campus Address * Local Telephone * Email Address * Department/School * Campus Box Bicycle Description Brand * Type * Colors * Serial # * Accessories/Unique Features Additional Comments Comments Disclaimer I Agree I hereby confirm that the information provided above is true and accurate. I agree to abide by Duke’s parking and transportation policies. I agree to obey all traffic laws when bicycling. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
