City of Madison ePayment Center: Bike Registration and Renewal

City of Madison Bike Registration and Renewal:

Required Fields are in red BOLD and are identified by an asterisk (*)

Registrant's Information:

*Last Name:

*First Name:

MI:

*Permanent Address:

*City:

*State:

*Zip Code:

(12345)

*Permanent Phone:

(999-999-9999)

*Local Daytime Phone:

(999-999-9999)

*Serial Number:

*Manufacturer:

*Model:

*Frame Type:

*Bicycle Type:

Other Description:

*Wheel Size:

If Other:

*Number of Speeds:

*Frame Size:

*1st Frame Color:

2nd Frame Color:

If renewing a Madison Bicycle Registration, please indicate the expired license # (one letter and five numbers):

(Example: A12345)

*Fee ($):

Registrations are $10.00, with one exception: If your immediate family already has two bicycles registered in the City of Madison, then each additional registration fee is just $8.00

Shipping Option

Please send to a location other than my billing address

First Name:

MI:

Last Name:

Street Address:

City:

State:

Zip Code:

(12345)

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