January 26, 2008                                                            TO PROTECT AND SERVE
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This is the West Union Police Department's online Bicycle Registration Page. Once you submit this form and it is received we will contact you when your registration receipt is ready to be picked up. The cost for bicycle registration is $1.00, which must be paid at the time you pick up your receipt and registration tag. The page has been developed for your convenience. 

Please provide the following information to register your bicycle with the West Union Police Department.

Date: Example: 01/02/05

Full Name:( person the bicycle will be registered to:)

Address: ( Street Address, City, Zip code: No PO Box Please!)

Make: (Example- Huffy)

Serial Number: ( Don't know where your serial number is located? Please email us or call: 563-422-3535)

Type of Bike: (Example- Mountain Bike, 10-speed)     Color
                          

Parents Name (If under age 18)

Phone #:                             E-mail Address:
                            

Please indicate the method in which you would like to be contacted:
                      Phone                             E-mail