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ALL ABILITIES BIKE INCLUSIVE LEARN-TO-RIDE PROGRAM APPLICATION

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Organization Information*

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ORGANIZATION INFORMATION

Check 'yes' if requesting a standard fleet of (10) 20-inch bikes *The program has a one time cost of $5,500.00
14 inch bike quantities available: 1, 2, 3, 4 or 5. The rest of your fleet will be made up of 20-inch bikes.
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Please upload your school/organizations W9
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By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge.

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