Seatle BIKE PORT Registration Form Step 1

The Bicycle Alliance of Washington - Advocates for bicyclists and a bike-friendly Washington

The Bicycle Alliance of Washington -- promoting bicycling for everyday transportation through education and advocacy

314 First Avenue South
Seattle WA 98104
206.224.9252
info@bicyclealliance.org

Seattle BIKE PORT Registration: Step 1

Use the form below to Register or Renew as a Seattle BIKE PORT customer or to make changes to your Service Plan.

After you fill out this form and hit the SUBMIT button, your registration information will be sent to the Bicycle Alliance, and then you will be given the option to pay online or mail in a check for your payment.

Note: Fields marked with * are required.

Bike Parking Customer Information

*Administration Fee:

NEW Bike Parking Customer (one-time $20 Admin Fee )
Renewing Monthly or Annual Plan
Current PPU Customer

Your card access key wil be mailed after we receive payment. If you want to pick up your card at Seattle BIKE PORT instead, please check the box below:
I will pick up my card at Seattle BIKE PORT Pioneer Square.

Bicycle Alliance Members:

I am a current member of the Bicycle Alliance of Washington
(BAW members will receive a $20 discount when purchasing or renewing an Annual Plan)

*Service Plan:

Unlimited access:
$120 : One year
$15 : One month
Start 31 days of access on:

Pay per use (PPU):
$20 : Block of 10 Uses
$40 : Block of 20 Uses
$60 : Block of 30 Uses
$80 : Block of 40 Uses
$100 : Block of 50 Uses
$120 : Block of 60 Uses
$140 : Block of 70 Uses

*First Name:

*Last Name:

*Phone:

*Email:

*Mailing Address:

change of address

*City:

*State/Province:

*Zip/Postal Code:

*Bike Description:

In order to identify Seattle BIKE PORT customers we ask you to provide a detailed description of your bicycle.

Manufacturer :
Model :
Color(s) :
Type :

If you plan to park different bikes at Seattle BIKE PORT, please add a description of your other vehicles in the Comments section below.

Comments:

*Terms and Conditions:

I have read and agree to the terms in the Contract and Waiver and PPU Policy.

*I am a human:

I want to park my [the TYPE of VEHICLE we park]

You are almost done. Now, just click Submit, which will send your registration info to BAW. You will then be taken to a page where you will have the option to Pay online or send us a check.

Thank you! Your card access key wil be activated/mailed after we receive payment.