Request installation of a bicycle rack.

Contact Information
Enter your first name.
Enter your last name.
Enter your email address so we can contact you about this request if necessary.
Enter your telephone number in the format 555-555-5555.
Desired Rack Location
Use one or more of the options below to tell us where you're requesting the bike rack.
For example N/E/S/W of Street/Avenue.
For example enter a landmark near the requested location such as City Hall, a library or a store.
Enter the specific address where the rack should be located.
Number of Racks Requested

Enter the number of racks requested.

Enter any additional information.

FOIP Statement

This information is being collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act and will be used for the administration of Sustainable Transportation's Bike Rack Maintenance and Request Forms. The Personal information data collected is protected from unauthorized use and/or disclosure by the privacy provisions of the FOIP Act.  Requests regarding the collection, use and disclosure of this information can be referred to Nathan Smith at 780-442-0691.