Request a Bicycle Rack

Contact Information

First Name:

Enter your first name.

Last Name:

Enter your last name.

Email Address:

Enter your email address so we can contact you about this request if necessary.

Telephone Number:

Enter your telephone number in the format 555-555-5555.

Would you like us to contact you?

EmailPhoneNo

Desired Rack Location

Use one or more of the options below to tell us where you're requesting the bike rack.

What side of the road?

For example N/E/S/W of Street/Avenue.

What is it near?

For example enter a landmark near the requested location such as City Hall, a library or a store.

Address:

Enter the specific address where the rack should be located.

Number of Racks Requested

How many racks are needed (each rack holds two bicycles):

Enter the number of racks requested.

Additional Comments:

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 Amanda Gelinas at 780-944-0257.

For More Information

Urban Transportation

13th Floor, Century Place
9803 – 102A Avenue
Edmonton, Alberta
T5J 3A3

Telephone	311
Email	cycling@edmonton.ca

Telephone

311

cycling@edmonton.ca